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HCPCS 81465

Test for detecting genes associated with disease, whole mitochondrial genome

Reported by 3 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

Low

$103

Average

$1.5k

Median

$281

High

$4.1k

Hospitals reporting this code

#HospitalLocation
1Sonora Community HospitalSonora, CA$66$112$103$41.7k$20
2Adventist Health DelanoDelano, CA$90$289$281$6.3k$61
3Winneshiek Medical CenterDecorah, IA$467$4.2k$4.1k$4.5k$512

Look up this code directly

Ask Claude or any MCP client for HCPCS 81465 pricing at a specific hospital — see how to connect.

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