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  5. /Fee schedule
CPT 0097U

Professional Services

Reported by 104 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

$187

Average

$738

Median

$708

High

$1.7k

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$363$321$73—$195$363
2Northwest Iowa Hospital CorporationSioux City, IA$363$321$73—$195$363
3St Luke'sJones Regional Medical CenterAnamosa, IA$363$321$73—$195$363
4St Luke's Methodist HospitalCedar Rapids, IA$363$321$73—$195$363
5Trinity Medical CenterRock Island, IL$279$279$84—$195$363
6Trinity Medical CenterBettendorf, IA$363$321$73—$195$363
7Unity HealthcareMuscatine, IA$363$321$73—$195$363
8Trinity Regional Medical CenterFort Dodge, IA$363$321$73—$195$363
9Meriter Hospital, IncMadison, WI$195$195——$195$195
10Central Iowa Hospital CorporationDes Moines, IA$363$321$73—$195$363
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