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CDM 30200965

HE4

Reported by 46 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

$22

Average

$47

Median

$27

High

$272

Hospitals reporting this code

#HospitalLocation
1The Cleveland Clinic FoundationCleveland, OH$10$63$64$144$38
2Cleveland Clinic Weston Hospital Nonprofit CorporationWeston, FL$5$32$162$557$180
3The Union Hospital AssociationDover, OH$18$55$60$144$37
4Akron General Medical CenterAkron, OH$1$50$56$144$38
5Baylor Scott & White Medical Center - TempleTemple, TX$4$31$26$60$18
6Cleveland Clinic Mercy HospitalCanton, OH$1$48$56$144$38
7Martin Memorial Medical Center IncStuart, FL$6$22$106$557$148
8Baylor Scott & White Medical Center - BrenhamBrenham, TX$8$32$28$60$17
9Lutheran HospitalCleveland, OH$1$48$56$144$38
10Marymount Hospital IncGarfield Heights, OH$1$48$57$144$38
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