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HCPCS 87807QW

RSV ASSAY W/OPTIC

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

$17

Average

$54

Median

$17

High

$194

Hospitals reporting this code

#HospitalLocation
1St Joseph’s Health Services IncHillsboro, WI$189$189$189$189—
2Gundersen Luthern Medical Center IncLa Crosse, WI$189$194$194$199$5
3Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$50$50$50$50—
4Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$50$50$50$50—
5Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$50$50$50$50—
6Memorial Hospital of BoscobelBoscobel, WI$50$50$50$50—
7Tri-County Memorial Hospital IncWhitehall, WI$189$194$194$199$5
8Hmh Hospitals CorporationNorth Bergen, NJ$17$25$25$32$7
9Hmh Hospitals CorporationEdison, NJ$17$17$17$17—
10Hmh Hospitals CorporationHackensack, NJ$17$17$17$17—
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