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HCPCS D0423

Genetic test spec analysis

Reported by 29 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

$24

Average

$88

Median

$74

High

$174

Hospitals reporting this code

#HospitalLocation
1St Joseph’s Health Services IncHillsboro, WI$16$94$85$103$26
2Gundersen Luthern Medical Center IncLa Crosse, WI$15$16$29$91$28
3Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$16$50$52$91$35
4Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$16$103$91$103$30
5Memorial Hospital of BoscobelBoscobel, WI$16$80$72$80$21
6Tri-County Memorial Hospital IncWhitehall, WI$16$81$71$81$22
7Gottlieb Memorial HospitalMelrose Park, IL$35$35$35$35—
8MacNeal HospitalBerwyn, IL$35$35$35$35—
9Loyola University Medical CenterMaywood, IL$51$51$51$51—
10MercyOne Genesis Aledo Medical CenterAledo, IL$96$96$96$96—
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