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HCPCS 81479

Molecular pathology procedure

Reported by 13 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$234

Average

$359

Median

$333

High

$598

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$10$208$434$4.5k$480
2Adventist Health Medical Center TehachapiTehachapi, CA$3$160$308$2.3k$332
3Sonora Community HospitalSonora, CA$7$238$339$2.6k$336
4Glendale Adventist Medical CenterGlendale, CA$4$175$432$8.8k$506
5Simi Valley Hospital And Health Care ServicesValley, CA$4$184$333$2.5k$327
6Adventist Health TulareTulare, CA$4$165$261$2.3k$273
7Reedley Community HospitalReedley, CA$6$147$234$2.3k$250
8Adventist Health Clearlake Hospital IncClearlake, CA$3$188$376$3.0k$479
9San Joaquin Community HospitalBakersfield, CA$5$133$314$4.7k$403
10Hanford Community HospitalHanford, CA$5$161$255$3.0k$273
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