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CDM 3058529101

HC FACTOR XIII, QUALITATIVE

Reported by 32 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

$89

Average

$123

Median

$115

High

$198

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$2$120$109$150$31
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$2$120$111$150$30
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$2$120$110$167$31
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$3$121$115$128$21
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$2$120$110$150$31
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$120$178$176$208$28
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$41$127$125$221$54
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$3$121$113$136$26
9St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$49$118$104$137$24
10IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$3$119$110$150$29
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