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HCPCS 81269

ZB2R2 HB HBA1 AND HBA2 DELETION/DUPLICATION

Reported by 39 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Based on 2–20 billing samples across every hospital reporting.

Low

$72

Average

$462

Median

$367

High

$3.2k

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.
1Hackensack Meridian Mountainside Medical CenterMontclair, NJ$1.1k$926$3641–10$142$1.7k
2Reedley Community HospitalReedley, CA$78$85$201–10$24$1.9k
3University of Iowa Health Care Medical Center DowntownIowa City, IA$917$946$263—$202$1.3k
4University of Iowa Health Care Medical CenterIowa City, IA$959$954$263—$202$1.3k
5AHS Henryetta Hospital, LLCHenryetta, OK$182$182——$180$208
6University Of Texas Health Center At TylerTyler, TX$236$315$149—$170$1.1k
7Tyler Regional Hospital, LLCTyler, TX$407$512$229—$170$1.1k
8Athens Hospital, LLCAthens, TX$889$715$301—$121$1.0k
9Henderson Hospital, LLCHenderson, TX$398$653$302—$121$1.1k
10Jacksonville Hospital, LLCJacksonville, TX$376$588$275—$121$962
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