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CDM 30000676

HC PRQ TCAT THER RX NTRAC BALO1

Reported by 32 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

$74

Average

$1.7k

Median

$133

High

$13.8k

Hospitals reporting this code

#HospitalLocation
1Trinity Medical CenterRock Island, IL$5.6k$15.0k$13.8k$21.9k$2.8k
2Trinity Medical CenterBettendorf, IA$5.4k$14.1k$12.8k$14.6k$2.4k
3Allen Memorial Hospital CorporationWaterloo, IA$5.4k$13.2k$13.0k$15.5k$2.7k
4UnityPoint Health MarshalltownMarshalltown, IA$5.4k$10.0k$10.0k$14.2k—
5Baylor Scott & White Medical Center - TempleTemple, TX$12$86$135$445$117
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$12$168$239$445$150
7Baylor Scott & White Medical Center - TaylorTaylor, TX$12$168$239$443$150
8Baylor Scott & White Medical Center - HillcrestWaco, TX$59$88$143$443$118
9Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$10$74$108$386$86
10Baylor Scott & White Medical Center - Round RockRound Rock, TX$12$84$133$443$115
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