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CDM 43400006

HC OT RE-EVAL EST PLAN CARE (97168)

Reported by 30 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

$168

Average

$232

Median

$222

High

$550

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$57$222$216$344$68
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$47$194$168$344$94
3Baylor Scott & White Medical Center - TaylorTaylor, TX$78$195$190$327$85
4Baylor Scott & White Medical Center - HillcrestWaco, TX$46$222$216$336$67
5Baylor University Medical CenterDallas, TX$64$220$550$7.4k$1.5k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$61$220$213$413$95
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$82$236$235$368$73
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$57$216$211$325$61
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$42$220$205$322$76
10Baylor Scott & White Medical Center - PlanoPlano, TX$45$227$227$413$86
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