CDM 26000004

HC IV INF ADDL SEQ INIT HR

National pricing summary

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Low

$53

Average

$413

Median

$456

High

$2.5k

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All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Prices here combine facility and professional fees. See them separately →Experimental

Rates differ by insurer. See what each payer pays for this code →Experimental

Reflects a negotiated percentage of total billed charges.

Price distribution

Percent of billed charges methodology

Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 81 hospitals; the 90th percentile is 4.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.

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Hospitals reporting CDM 26000004

#	Hospital
1	St Johns Hospital Of The Hospital Sisters Of The Third Order Of St Francis Springfield, IL	$306	$287	$87	30%	960–1,230	$104 – $373
2	Mid-valley Healthcare Inc Lebanon, OR	$64	$53	$24	46%	471–489	$23 – $78
3	St Francis Hospital Sisters Of The Third Order Of St Francis LITCHFIELD, IL	$263	$224	$112	50%	360–450	$65 – $622
4	St Elizabeths Hospital Of The Hospital Sisters Of The Third Order Of St Francis O'Fallon, IL	$331	$327	$96	29%	300–480	$118 – $420
5	Samaritan Pacific Health Services Inc Newport, OR	$70	$58	$22	38%	264–282	$26 – $78
6	Deaconess Health System Henderson Hospital Henderson, KY	$539	$546	$206	38%	241–259	$177 – $857
7	St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third Order Of St Francis Mattoon, IL	$91	$87	$19	22%	230–320	$28 – $101
8	Deaconess Health System Gibson General Hospital Princeton, IN	$209	$172	$62	36%	196–268	$64 – $231
9	St Marys Hospital Decatur Of Hospital Sisters Of The Third Order Of St Francis DECATUR, IL	$149	$144	$43	30%	180–270	$52 – $186
10	Good Samaritan Hospital Corvallis Corvallis, OR	$76	$67	$13	19%	160–196	$40 – $78

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