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CPT S0613

PR ANN BREAST EXAM

Reported by 8 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

$43

Average

$83

Median

$55

High

$292

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.
1University of Iowa Health Care Medical Center DowntownIowa City, IA$41$44$31—$12$145
2University of Iowa Health Care Medical CenterIowa City, IA$41$43$29—$12$145
3Virginia Mason Medical CenterSeattle, WA$51$51$3—$48$55
4Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$58$53$7—$43$58
5St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$58$58——$58$58
6Mary Hitchcock Memorial HospitalLebanon, NH$139$292$357—$26$904
7Cheshire Medical CenterKeene, NH$48$61$49—$12$131
8The New London Hospital Association, Inc.London, NH$56$56$8—$48$65

Look up this code directly

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