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HCPCS 87812QW

SARSCOV2&INF TYP A&B W/OPTIC

Reported by 11 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

$41

Average

$337

Median

$283

High

$1.1k

Hospitals reporting this code

#HospitalLocation
1Gundersen Luthern Medical Center IncLa Crosse, WI$1.1k$1.1k$1.1k$1.1k$28
2Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$283$283$283$283—
3Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$283$283$283$283—
4Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$283$283$283$283—
5Memorial Hospital of BoscobelBoscobel, WI$283$283$283$283—
6Tri-County Memorial Hospital IncWhitehall, WI$1.1k$1.1k$1.1k$1.1k$28
7Henry Ford Health SystemDetroit, MI$74$74$74$103—
8Henry Ford Health SystemWest Bloomfield, MI$74$74$83$103$12
9Henry Ford Macomb Hospital CorporationClinton Twp, MI$74$74$83$103$12
10Henry Ford Wyandotte HospitalWyandotte, MI$74$74$83$103$12
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