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CDM 40100009

HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL

Reported by 28 hospitals in the network under the per diem 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 a negotiated per diem rate paid per day of care.

National pricing summary

Low

$170

Average

$175

Median

$173

High

$260

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$68$170$170$408—
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$56$170$170$408—
3Baylor Scott & White Medical Center - TaylorTaylor, TX$86$170$170$385—
4Baylor Scott & White Medical Center - HillcrestWaco, TX$54$251$260$386$13
5Baylor University Medical CenterDallas, TX$77$167$173$397$8
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$73$167$173$397$8
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$91$170$170$408—
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$68$170$170$386—
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$50$167$173$455$8
10Baylor Scott & White Medical Center - PlanoPlano, TX$54$167$173$397$8
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