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CDM 4609461001

HC SURFACTANT INSTILLATION

Reported by 38 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

$221

Average

$462

Median

$295

High

$2.0k

Hospitals reporting this code

#HospitalLocation
1Geisinger Community Medical CenterScranton, PA$1$274$2.0k$23.0k$5.7k
2Geisinger Bloomsburg HospitalBloomsburg, PA$1$239$974$12.2k$2.6k
3Geisinger Wyoming ValleyWilkes-Barre, PA$1$250$1.3k$23.2k$4.4k
4Geisinger Medical CenterPA 17822, PA$1$274$316$1.1k$218
5Geisinger Lewistown HospitalLewistown, PA$1$272$1.9k$24.4k$5.2k
6Geisinger Jersey Shore HospitalJersey Shore, PA$1$269$1.2k$15.6k$3.5k
7IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$4$246$223$308$64
8IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$5$246$226$308$62
9IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$3$246$226$342$64
10IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$6$291$277$308$51
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