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CDM 7614346001

HC ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE

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

$1.5k

Average

$2.0k

Median

$1.6k

High

$4.0k

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$29$1.7k$1.6k$2.1k$449
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$33$1.7k$1.6k$2.1k$430
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$24$1.7k$1.6k$2.4k$446
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$36$1.6k$1.5k$1.7k$286
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$31$1.7k$1.6k$2.1k$436
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$2.4k$3.6k$3.6k$4.2k$559
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$874$2.7k$2.7k$4.7k$1.1k
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$40$1.6k$1.5k$1.8k$355
9St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$1.6k$3.9k$3.4k$4.5k$802
10IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$43$1.7k$1.6k$2.1k$418
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