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CPT 0455U

NFCT AGT STI MULT AMP PRB UR

Reported by 285 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

$138

Average

$210

Median

$155

High

$543

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$143$143$168$324$57
2Northwest Iowa Hospital CorporationSioux City, IA$143$143$183$324$61
3St Luke'sJones Regional Medical CenterAnamosa, IA$143$143$188$324$78
4Medical Ctiy ArgyleArgyle, TX$61$147$157$374$47
5Medical City AllianceSAGINAW, TX$61$144$152$374$44
6St Luke's Methodist HospitalCedar Rapids, IA$143$143$196$324$71
7Trinity Medical CenterRock Island, IL$134$220$224$324$82
8Trinity Medical CenterBettendorf, IA$143$143$189$324$65
9Unity HealthcareMuscatine, IA$143$143$198$324$73
10Trinity Regional Medical CenterFort Dodge, IA$143$143$198$324$73
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