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CPT 256U

TMA/TMAO PRFL MS/MS UR ALG

Reported by 83 hospitals in the network.

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.

National pricing summary

Low

$46

Average

$174

Median

$168

High

$694

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.
1VHS Harper-Hutzel Hospital IncDetroit, MI$1$46$72—$1$160
2VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$1$46$72—$1$160
3Vhs Of Arrowhead, IncPhoenix, AZ$124$159$129—$96$561
4Vhs Of Phoenix IncPhoenix, AZ$144$155$110—$96$561
5VHS Acquisition Subsidiary Number 1 IncCave Creek, AZ$124$159$129—$96$561
6Vhs Of Arrowhead, IncGlendale, AZ$124$159$129—$96$561
7Vhs Of Arrowhead, IncSurprise, AZ$124$159$129—$96$561
8SMSJ Tucson Holdings LLCTucson, AZ$144$195$156—$110$607
9Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$144$266$187—$88$578
10Amisub of South Carolina, Inc.Fort Mill, SC$160$140$25—$110$160
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