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CPT 87560

QRX38120 MAI DNA PRB

Reported by 9 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$26

Average

$32

Median

$27

High

$42

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.
1Naples HMA LLCNaples, FL$27$42$38—$11$141
2Naples HMA LLCNaples, FL$27$42$38—$11$141
3Naples HMA LLCNaples, FL$27$42$38—$11$141
4Northside Hospital, Inc.Lawrenceville, GA$29$26$11—$7$57
5Northside Hospital, Inc.Canton, GA$29$26$11—$7$57
6Northside Hospital, Inc.Atlanta, GA$29$26$11—$7$57
7Northside Hospital, Inc.Duluth, GA$29$27$10—$7$57
8Northside Hospital, Inc.Cumming, GA$29$26$11—$7$57
9Reynolds Memorial Hospital, Inc.Glen Dale, WV$29$30$6—$18$43

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