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CDM 31001135

HC REF VERSITI COMP 5303, CPT 81108

Reported by 29 hospitals in the network under the fee schedule methodology.

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.

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$128

Average

$226

Median

$217

High

$419

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$36$150$236$771$203
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$30$293$419$771$258
3Baylor Scott & White Medical Center - TaylorTaylor, TX$36$293$419$771$258
4Baylor Scott & White Medical Center - HillcrestWaco, TX$81$154$248$771$206
5Baylor University Medical CenterDallas, TX$35$128$193$631$149
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$35$128$190$631$148
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$36$147$232$771$200
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$36$153$248$771$213
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$35$128$234$940$240
10Baylor Scott & White Medical Center - PlanoPlano, TX$35$133$201$631$155
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