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CDM 76100172

HC PERQ DEV BREAST 1ST MR GUIDE

Reported by 33 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$162

Average

$344

Median

$251

High

$1.2k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$342$1.1k$1.1k$3.3k$379
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$489$1.1k$1.2k$3.3k$401
3Vanderbilt University Medical CenterNashville, TN$340$680$870$3.3k$418
4Vanderbilt Bedford HospitalShelbyville, TN$489$1.1k$1.2k$3.3k$401
5Baylor Scott & White Medical Center - TempleTemple, TX$71$212$221$718$96
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$71$81$162$718$167
7Baylor Scott & White Medical Center - TaylorTaylor, TX$71$81$162$595$167
8Baylor Scott & White Medical Center - HillcrestWaco, TX$71$212$218$598$99
9Baylor University Medical CenterDallas, TX$110$212$250$504$80
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$103$212$252$504$82
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