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CPT 0159T

CAD LESN DETECT BRST MRI

Reported by 13 hospitals in the network under the percent of billed charges 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 a negotiated percentage of total billed charges.

National pricing summary

Low

$52

Average

$344

Median

$253

High

$1.1k

Hospitals reporting this code

#HospitalLocation
1Hca Florida Largo West HospitalLARGO, FL$147$707$1.1k$2.9k$864
2Catholic Health Initiatives ColoradoColorado Springs, CO$114$231$253$815$112
3Catholic Health Initiatives ColoradoColorado Springs, CO$130$241$293$815$107
4St Francis HospitalColorado Springs, CO$114$206$224$815$95
5Longmont United HospitalLongmont, CO$114$241$257$746$118
6Catholic Health Initiatives ColoradoFrisco, CO$183$535$473$2.3k$138
7Catholic Health Initiatives ColoradoPueblo, CO$245$445$533$2.2k$195
8Catholic Health Initiatives ColoradoDurango, CO$220$608$527$1.8k$141
9Commonspirit Kansas, Inc.Garden City, KS$31$53$52$543$8
10Orthocolorado, LlcLakewood, CO$114$191$217$815$98
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