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HCPCS 86366

Test for muscle-specific kinase antibody

Reported by 10 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

$125

Average

$160

Median

$149

High

$217

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$18$125$125$266—
2Adventist Health Medical Center TehachapiTehachapi, CA$18$162$162$266$9
3Sonora Community HospitalSonora, CA$18$197$197$280—
4Simi Valley Hospital And Health Care ServicesValley, CA$18$142$142$266—
5Adventist Health TulareTulare, CA$18$149$149$251—
6Adventist Health Clearlake Hospital IncClearlake, CA$18$132$132$176—
7Hanford Community HospitalHanford, CA$18$149$149$286—
8White Memorial Medical CenterAngeles, CA$16$133$133$451—
9St Helena HospitalHelena, CA$18$217$217$266—
10Willits Hospital IncWillits, CA$18$192$192$251—

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