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HCPCS 87389QW

HIV-1 AG W/HIV-1&-2 AB AG IA

Reported by 18 hospitals in the network.

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.

National pricing summary

Low

$31

Average

$99

Median

$32

High

$357

Hospitals reporting this code

#HospitalLocation
1St Joseph’s Health Services IncHillsboro, WI$348$348$348$348—
2Gundersen Luthern Medical Center IncLa Crosse, WI$348$357$357$366$9
3Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$92$92$92$92—
4Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$92$92$92$92—
5Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$92$92$92$92—
6Memorial Hospital of BoscobelBoscobel, WI$92$92$92$92—
7Tri-County Memorial Hospital IncWhitehall, WI$348$357$357$366$9
8Hmh Hospitals CorporationNorth Bergen, NJ$32$32$32$32—
9Hmh Hospitals CorporationEdison, NJ$32$32$32$32—
10Hmh Hospitals CorporationHackensack, NJ$32$32$32$32—
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