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HCPCS 87561

M.avium-intra dna amp prob

Reported by 204 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

$33

Average

$70

Median

$50

High

$438

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$17$43$77$279$68
2The George Washington University HospitalWashington, DC—$59$77—$75
3Palmdale Regional Medical CenterPalmdale, CA—$43$95—$78
4Temecula Valley HospitalTemecula, CA—$34$105—$147
5Manatee Memorial HospitalBradenton, FL—$32$35—$11
6Lakewood RanchLakewood Ranch, FL—$32$35—$11
7Simi Valley Hospital And Health Care ServicesValley, CA$35$114$166$366$121
8Crawford Long HospitalAtlanta, GA$26$36$41$74$12
9Ehca John's Creek, LlcJohns Creek, GA$26$36$41$74$12
10Dekalb Medical Center, IncDecatur, GA$26$36$41$74$12
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