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CPT 86413

COVID-19 AB QN

Reported by 52 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$17

Average

$73

Median

$25

High

$154

Hospitals reporting this code

#HospitalLocation
1Medical City DallasDallas, TX$4$27$27$135$15
2Medical City Green Oaks HospitalDALLAS, TX$4$32$28$54$16
3Mercy Health Lakeshore CampusShelby, MI$24$150$150$159$10
4St Joseph Mercy ChelseaChelsea, MI$24$122$112$183$37
5St Joseph Mercy Ann ArborYpsilanti, MI$24$141$120$183$40
6St Mary Mercy LivoniaLivonia, MI$24$116$104$183$34
7Mercy Health Hackley CampusMuskogen, MI$24$139$125$176$26
8St Joseph Mercy OaklandPontiac, MI$24$134$113$183$36
9St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - BrightonBrighton, MI$24$142$118$183$45
10Mercy Health Saint MarysGrand Rapids, MI$24$134$128$176$25
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