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CPT 0391T

HC INTER EVAL LLS DEVICE IN PERS

Reported by 9 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$33

Average

$4.4k

Median

$5.7k

High

$6.2k

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.
1Catholic Health Initiatives ColoradoColorado Springs, CO$4.5k$5.7k$3.5k—$260$12.5k
2Catholic Health Initiatives ColoradoColorado Springs, CO$6.2k$6.0k$3.7k—$770$12.5k
3St Francis HospitalColorado Springs, CO$4.5k$5.7k$3.5k—$260$12.5k
4Longmont United HospitalLongmont, CO$6.0k$6.2k$3.5k—$260$13.8k
5Orthocolorado, LlcLakewood, CO$5.0k$5.7k$3.6k—$260$13.8k
6Catholic Health Initiatives ColoradoLakewood, CO$3.9k$5.3k$3.3k—$260$13.8k
7Catholic Health Iniatives ColoradoWestminster, CO$3.9k$5.3k$3.3k—$260$13.8k
8Virginia Mason Medical CenterSeattle, WA$109$109——$109$109
9The University of Tennessee Medical CenterKnoxville, TN$33$33——$33$33

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