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CDM 76104053

HC INCAL BX SKN EA SEP/ADDL

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

$153

Average

$298

Median

$218

High

$535

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$54$203$387$7.4k$1.2k
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$44$177$153$324$91
3Baylor Scott & White Medical Center - TaylorTaylor, TX$71$213$349$7.4k$1.1k
4Baylor Scott & White Medical Center - HillcrestWaco, TX$43$198$379$7.4k$1.2k
5Baylor University Medical CenterDallas, TX$57$207$535$7.4k$1.5k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$53$197$188$283$63
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$71$253$457$7.4k$1.2k
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$54$198$410$7.4k$1.2k
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$37$204$194$283$59
10Baylor Scott & White Medical Center - PlanoPlano, TX$40$204$200$283$50
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