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HCPCS 86413

Quantitative measurement of severe acute respiratory syndrome coronavirus 2 (COVID-19] antibody

Reported by 11 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

$73

Average

$198

Median

$187

High

$334

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$42$334$328$463$97
2Adventist Health Medical Center TehachapiTehachapi, CA$31$70$73$245$35
3Sonora Community HospitalSonora, CA$46$153$143$271$29
4Adventist Health DelanoDelano, CA$51$343$334$408$72
5Simi Valley Hospital And Health Care ServicesValley, CA$51$126$129$182$34
6Rideout Memorial HospitalMarysville, CA$51$269$308$466$103
7Adventist Health Clearlake Hospital IncClearlake, CA$57$218$188$261$69
8San Joaquin Community HospitalBakersfield, CA$51$179$187$441$81
9Lodi Memorial Hospital Association IncLodi, CA$13$46$134$466$145
10St Helena HospitalHelena, CA$46$187$188$265$47
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