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CDM 30201410

*AB; HSV II

Reported by 36 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

$20

Average

$105

Median

$97

High

$336

Hospitals reporting this code

#HospitalLocation
1The Cleveland Clinic FoundationCleveland, OH$10$58$59$134$36
2Cleveland Clinic Weston Hospital Nonprofit CorporationWeston, FL$5$20$23$50$12
3Akron General Medical CenterAkron, OH$1$46$53$134$35
4Baylor Scott & White Medical Center - TempleTemple, TX$12$140$117$268$80
5Martin Memorial Medical Center IncStuart, FL$6$19$20$50$12
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$12$145$125$268$78
7Baylor Scott & White Medical Center - TaylorTaylor, TX$12$149$133$239$68
8Baylor Scott & White Medical Center - HillcrestWaco, TX$20$132$112$224$72
9Baylor University Medical CenterDallas, TX$10$57$336$7.4k$1.3k
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$10$39$86$224$75
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