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CDM 4409753501

HC ST ADL/SELF CARE PER 15 MIN

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

$59

Average

$109

Median

$112

High

$123

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$2$118$107$148$31
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$2$118$108$148$30
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$2$118$108$164$31
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$2$112$106$118$20
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$2$118$108$148$30
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$40$60$59$70$9
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$38$117$116$205$50
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$3$111$104$126$24
9IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$3$116$108$148$29
10IHC Health Services Inc., DBA Intermountain Health Layton HospitalLayton, UT$7$117$107$164$30
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