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  4. /0497U
HCPCS 0497U

Onc prst8 mrna rt-pcr 6 gene

Reported by 294 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

$128

Average

$6.0k

Median

$5.1k

High

$49.9k

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 Mount Sinai HospitalNew York, NY$8.0k$8.1k$4.1k—$3.1k$15.0k
2St Joseph’s Health Services IncHillsboro, WI$34.9k$34.9k——$34.9k$34.9k
3Gundersen Luthern Medical Center IncLa Crosse, WI$3.9k$14.6k$21.4k—$3.9k$58.9k
4Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$14.7k$14.7k——$14.7k$14.7k
5Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$14.7k$14.7k——$14.7k$14.7k
6Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$34.9k$26.8k$9.9k—$14.7k$34.9k
7Memorial Hospital of BoscobelBoscobel, WI$14.7k$12.3k$3.5k—$7.4k$14.7k
8Tri-County Memorial Hospital IncWhitehall, WI$55.9k$49.9k$10.7k—$34.9k$58.9k
9St. Vincent's Medical Center, Inc. (FL)Jacksonville, FL$3.9k$3.9k——$3.9k$3.9k
10Sacred Heart Health System, Inc.Pensacola, FL$3.9k$3.9k——$3.9k$3.9k
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