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CPT 0080U

ONC LNG 5 CLIN RSK FACTR ALG

Reported by 377 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

$2.5k

Average

$5.2k

Median

$4.2k

High

$13.5k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Finley HospitalDubuque, IA$3.6k$3.6k$687—$2.1k$4.8k
2Northwest Iowa Hospital CorporationSioux City, IA$3.6k$3.7k$847—$2.1k$5.3k
3St Luke'sJones Regional Medical CenterAnamosa, IA$3.5k$3.5k$959—$2.1k$4.8k
4Medical Ctiy ArgyleArgyle, TX$3.7k$4.8k$2.8k—$2.1k$19.0k
5Medical City AllianceSAGINAW, TX$3.7k$4.7k$2.9k—$2.1k$19.0k
6St Luke's Methodist HospitalCedar Rapids, IA$3.6k$3.9k$1.1k—$2.1k$6.5k
7Trinity Medical CenterRock Island, IL$3.6k$4.0k$1.3k—$2.1k$7.3k
8Trinity Medical CenterBettendorf, IA$3.6k$3.9k$1.0k—$2.1k$5.9k
9Unity HealthcareMuscatine, IA$3.6k$4.0k$1.2k—$2.1k$6.8k
10Trinity Regional Medical CenterFort Dodge, IA$3.6k$3.9k$1.2k—$2.1k$6.8k
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Look up this code directly

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