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CPT 86804

HEPATITIS C CONFIRM

Reported by 35 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$0

Average

$89

Median

$15

High

$1.5k

Hospitals reporting this code

#HospitalLocation
1Hca Healthone Mountain RidgeThornton, CO$86$350$350$508—
2Hca Healthone Northeast ErTHORNTON, CO$86$350$350$508—
3IOM Health System LPFort Wayne, IN$14$15$15$641—
4Bluffton Health System LLCBluffton, IN$14$15$15$566—
5Dukes Health System LLCPeru, IN$15$16$16$79—
6Warsaw Health System LLCWarsaw, IN$14$15$15$104—
7Lutheran Musculoskeletal Center LLCFort Wayne, IN$14$23$23$112$8
8St. Joseph Health System, LLCWayne, IN$14$15$15$712—
9Dupont Hospital LLCWayne, IN$14$19$19$653$4
10Natchez Hospital Company LLCNatchez, MS$14$15$15$1.3k—
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