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CDM 51000169

HC PREV VISIT NEW AGE 5-11

Reported by 34 hospitals in the network under the percent of billed charges methodology.

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.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$127

Average

$446

Median

$497

High

$522

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$5$98$127$238$38
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$5$98$128$238$41
3Vanderbilt University Medical CenterNashville, TN$5$136$135$238$37
4Vanderbilt Bedford HospitalShelbyville, TN$5$98$128$238$40
5Baylor Scott & White Medical Center - TempleTemple, TX$52$458$478$687$105
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$55$420$348$687$209
7Baylor Scott & White Medical Center - TaylorTaylor, TX$55$395$356$575$168
8Baylor Scott & White Medical Center - HillcrestWaco, TX$52$420$437$573$89
9Baylor University Medical CenterDallas, TX$52$521$500$7.4k$91
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$52$532$520$614$65
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