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CDM 4509928104

HC EMERGENCY ROOM - LEVEL 1 W/MOD

Reported by 32 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

$211

Average

$552

Median

$561

High

$722

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$13$785$712$982$205
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$15$785$722$982$196
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$11$785$722$1.1k$204
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$14$629$598$664$110
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$11$590$539$738$150
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$144$214$211$249$33
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$149$462$456$807$195
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$16$627$587$708$137
9St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$163$393$347$456$81
10IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$15$582$539$738$144
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