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CPT 01965

Outpatient Services - CPT/HCPCS

Reported by 32 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

$1

Average

$777

Median

$58

High

$7.7k

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.
1Sanford Fargo Medical CenterFargo, ND$1$1——$1$1
2Sanford USD Medical CenterSioux Falls, SD$1$1——$1$1
3Sanford Worthington Medical CenterWorthington, MN$1$1——$1$1
4St. Mary's Community HospitalNebraska City, NE$5$4$1—$1$5
5St Joseph's Hospital And Health CenterDickinson, ND$56$95$93—$4$236
6Mercy Medical CenterWilliston, ND$70$127$127—$4$328
7Covenant Medical Center IncWaterloo, IA$43$43$42—$1$756
8Mount Carmel Grove CityGrove City, OH$8.2k$7.7k$1.3k—$632$11.6k
9Mount Carmel St Ann'sWesterville, OH$8.2k$7.7k$1.3k—$632$11.6k
10Mount Carmel EastColumbus, OH$8.2k$7.7k$1.3k—$632$11.6k
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