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HCPCS 87523

Detection of Hepatitis D (delta)

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

$95

Average

$127

Median

$119

High

$166

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$43$95$95$268—
2Adventist Health Medical Center TehachapiTehachapi, CA$43$123$123$203$6
3Sonora Community HospitalSonora, CA$43$150$150$309—
4Simi Valley Hospital And Health Care ServicesValley, CA$43$108$108$203—
5Adventist Health TulareTulare, CA$43$114$114$191—
6Adventist Health Clearlake Hospital IncClearlake, CA$43$153$153$203—
7Hanford Community HospitalHanford, CA$43$114$114$218—
8White Memorial Medical CenterAngeles, CA$36$101$101$344—
9St Helena HospitalHelena, CA$43$166$166$203—
10Willits Hospital IncWillits, CA$43$147$147$191—

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