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  4. /0489U
HCPCS 0489U

OB SGNIPT CFDNA SEQ ALYS 1+

Reported by 59 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

$24

Average

$3.7k

Median

$1.6k

High

$17.1k

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.
1Gundersen Luthern Medical Center IncLa Crosse, WI$8.9k$9.1k$8.0k—$1.2k$17.5k
2Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$4.4k$4.4k——$4.4k$4.4k
3Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$4.4k$4.4k——$4.4k$4.4k
4Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$4.4k$4.4k——$4.4k$4.4k
5Memorial Hospital of BoscobelBoscobel, WI$4.4k$3.7k$1.0k—$2.2k$4.4k
6Tri-County Memorial Hospital IncWhitehall, WI$17.1k$17.1k$438—$16.7k$17.5k
7Columbia St. Mary's Hospital Ozaukee, Inc.Mequon, WI$6.7k$6.7k——$6.7k$6.7k
8Columbia St. Mary's Hospital Milwaukee, Inc.Milwaukee, WI$6.7k$6.7k——$6.7k$6.7k
9Sacred Heart Rehabilitation Institute, Inc.Mequon, WI$6.7k$6.7k——$6.7k$6.7k
10Ascension SetonLuling, TX$9.5k$9.5k——$9.5k$9.5k
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