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CPT 0694T

HC 3d Volumetric Imaging/Reconstruction Breast/Axillary Lymph Node Tissue Ea Excised Specimen

Reported by 7 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

$158

Average

$497

Median

$632

High

$632

Hospitals reporting this code

#HospitalLocation
1Mount Carmel New Albany Surgical HospitalNew Albany, OH$196$632$632$883—
2Mount Carmel Grove CityGrove City, OH$196$632$632$883—
3Diley Ridge Medical CenterCanal Winchester, OH$196$632$632$883—
4Mount Carmel St Ann'sWesterville, OH$196$632$632$883—
5Mount Carmel EastColumbus, OH$196$632$632$883—
6Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$158$158$158$158—
7Vanderbilt Bedford HospitalShelbyville, TN$158$158$158$158—

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