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CDM 30201545

%HSVG12 IGG 2

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

$16

Average

$186

Median

$216

High

$453

Hospitals reporting this code

#HospitalLocation
1The Cleveland Clinic FoundationCleveland, OH$10$58$59$134$36
2Cleveland Clinic Weston Hospital Nonprofit CorporationWeston, FL$5$19$18$32$8
3The Union Hospital AssociationDover, OH$16$51$56$134$35
4Akron General Medical CenterAkron, OH$1$46$53$134$35
5Baylor Scott & White Medical Center - TempleTemple, TX$12$329$257$631$209
6Cleveland Clinic Mercy HospitalCanton, OH$1$43$51$134$35
7Martin Memorial Medical Center IncStuart, FL$6$19$16$35$9
8Baylor Scott & White Medical Center - BrenhamBrenham, TX$12$362$289$631$191
9Lutheran HospitalCleveland, OH$1$43$52$134$35
10Marymount Hospital IncGarfield Heights, OH$1$43$53$134$35
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