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HCPCS 86481

HB T-SPOT TB

Reported by 228 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

$84

Average

$184

Median

$145

High

$1.0k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$77$102$174$342$104
2University of Iowa Health Care Medical CenterIowa City, IA$77$103$169$342$102
3The Mount Sinai HospitalNew York, NY$50$217$224$427$130
4The George Washington University HospitalWashington, DC—$115$128—$74
5Manatee Memorial HospitalBradenton, FL—$90$91—$39
6Lakewood RanchLakewood Ranch, FL—$90$91—$39
7Castle Medical CenterKailua, HI$40$153$165$469$63
8Ukiah Adventist HospitalUkiah, CA$100$669$580$1.1k$371
9Adventist Health Medical Center TehachapiTehachapi, CA$68$113$172$366$110
10Sonora Community HospitalSonora, CA$22$138$377$951$332
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