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CDM 43400003

HC OT EVAL MOD COMPLEX 45 MIN

Reported by 35 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

$156

Average

$270

Median

$273

High

$598

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$95$172$176$418$100
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$95$172$177$418$103
3Vanderbilt University Medical CenterNashville, TN$95$172$173$418$107
4Vanderbilt Bedford HospitalShelbyville, TN$95$172$177$418$102
5Memorial Hospital of Laramie CountyCheyenne, WY$102$166$156$181$21
6Baylor Scott & White Medical Center - TempleTemple, TX$80$308$296$477$101
7Baylor Scott & White Medical Center - BrenhamBrenham, TX$65$283$231$477$134
8Baylor Scott & White Medical Center - TaylorTaylor, TX$86$250$218$363$100
9Baylor Scott & White Medical Center - HillcrestWaco, TX$64$303$288$451$90
10Baylor University Medical CenterDallas, TX$76$277$598$7.4k$1.4k
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