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HCPCS 81504

Oncology tissue of origin

Reported by 215 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$312

Average

$775

Median

$701

High

$5.0k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$15$538$810$2.0k$564
2Spring Valley Hospital Medical CenterLas Vegas, NV—$520$455—$194
3Valley Health Speciality HospitalLas Vegas, NV—$520$455—$194
4Summerlin Hospital Medical CenterLas Vegas, NV—$520$455—$194
5West Henderson HospitalNV 89052, NV—$520$455—$194
6Henderson HospitalHenderson, NV—$520$455—$194
7Centennial HillsLas Vegas, NV—$520$455—$194
8Northwest Texas Healthcare System, Inc.Amarillo, TX—$312$312——
9The George Washington University HospitalWashington, DC—$312$312——
10Wellington Regional Medical CenterWellington, FL—$321$398—$136
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