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CPT S0265

Genetic counsel 15 mins

Reported by 4 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$20

Average

$166

Median

$135

High

$374

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.
1Virginia Mason Medical CenterSeattle, WA$234$234$15—$219$249
2Mary Hitchcock Memorial HospitalLebanon, NH$42$374$445—$20$948
3Cheshire Medical CenterKeene, NH$47$37$13—$20$47
4The New London Hospital Association, Inc.London, NH$20$20——$20$20

Look up this code directly

Ask Claude or any MCP client for CPT S0265 pricing at a specific hospital — see how to connect.

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