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CPT 86816

HC HLA TYPE; DR/DQ SGL AG

Reported by 598 hospitals in the network.

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.

National pricing summary

Low

$19

Average

$84

Median

$46

High

$2.2k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Finley HospitalDubuque, IA$32$38$17—$4$87
2Northwest Iowa Hospital CorporationSioux City, IA$32$36$11—$18$59
3St Luke'sJones Regional Medical CenterAnamosa, IA$39$44$16—$18$71
4Medical Ctiy ArgyleArgyle, TX$32$63$79—$18$309
5Medical City AllianceSAGINAW, TX$32$63$81—$18$309
6St Luke's Methodist HospitalCedar Rapids, IA$32$36$11—$18$59
7Trinity Medical CenterRock Island, IL$32$36$17—$4$69
8Trinity Medical CenterBettendorf, IA$32$36$11—$18$59
9Unity HealthcareMuscatine, IA$31$35$15—$4$69
10Trinity Regional Medical CenterFort Dodge, IA$36$40$13—$18$61
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