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CDM 30201555

%HSVG12 IGG 1

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

$12

Average

$27

Median

$16

High

$262

Hospitals reporting this code

#HospitalLocation
1The Cleveland Clinic FoundationCleveland, OH$7$40$41$91$24
2Cleveland Clinic Weston Hospital Nonprofit CorporationWeston, FL$5$13$14$25$6
3The Union Hospital AssociationDover, OH$11$35$39$91$23
4Akron General Medical CenterAkron, OH$1$31$37$91$23
5Baylor Scott & White Medical Center - TempleTemple, TX$4$19$16$33$9
6Cleveland Clinic Mercy HospitalCanton, OH$1$29$36$91$23
7Martin Memorial Medical Center IncStuart, FL$6$13$12$28$6
8Baylor Scott & White Medical Center - BrenhamBrenham, TX$4$19$16$33$9
9Lutheran HospitalCleveland, OH$1$29$36$91$23
10Marymount Hospital IncGarfield Heights, OH$1$29$37$91$23
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