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CDM 3008605201

HC AQUAPORIN-4 NMO AB SCRN CBA EACH REF1

Reported by 38 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

$151

Average

$952

Median

$1.0k

High

$2.5k

Hospitals reporting this code

#HospitalLocation
1Geisinger Community Medical CenterScranton, PA$1$229$2.5k$23.0k$6.4k
2Geisinger Bloomsburg HospitalBloomsburg, PA$1$225$1.2k$12.2k$3.1k
3Geisinger Wyoming ValleyWilkes-Barre, PA$1$225$1.6k$23.2k$5.1k
4Geisinger Medical CenterPA 17822, PA$1$225$216$382$133
5Geisinger Lewistown HospitalLewistown, PA$1$218$2.5k$24.4k$6.1k
6Geisinger Jersey Shore HospitalJersey Shore, PA$1$180$1.4k$15.6k$4.0k
7IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$18$1.1k$989$1.4k$285
8IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$21$1.1k$1.0k$1.4k$273
9IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$15$1.1k$1.0k$1.5k$284
10IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$24$1.1k$1.0k$1.2k$193
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