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HCPCS 86831

HB MICA ANTIBODY

Reported by 8 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

$380

Average

$426

Median

$414

High

$489

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$78$408$412$552$111
2University of Iowa Health Care Medical CenterIowa City, IA$78$420$416$552$110
3UPMC LititzLititz, PA$73$355$380$645$143
4UPMC MemorialYork, PA$63$399$405$645$159
5UPMC HanoverHanover, PA$73$524$483$660$187
6UPMC CarlisleCarlisle, PA$73$370$391$645$147
7UPMC Pinnacle HospitalsHarrisburg, PA$73$565$489$645$168
8UPMC SomersetSomerset, PA$77$493$429$569$112

Look up this code directly

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