CDM 301001417
Prices here combine facility and professional fees. See them separately →Experimental
Rates differ by insurer. See what each payer pays for this code →Experimental
Low
$15
Average
$19
Median
$18
High
$25
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St Josephs Community Hospital of West Bend Inc West Bend, WI | $17 | $16 | $4 | 23% | 5,076–5,130 | $8 – $22 |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI | $17 | $25 | $26 | 100% | 428–554 | $17 – $130 |
| 3 | Holy Family Memorial Inc Manitowoc, WI | $17 | $21 | $7 | 34% | 142–232 | $17 – $43 |
| 4 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI | $17 | $15 | $4 | 24% | 23–113 | $10 – $22 |
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