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CPT 31235

NSL/SINS NDSC DX SPHN SINUSC

Reported by 21 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$0

Average

$4.1k

Median

$2.6k

High

$11.7k

Hospitals reporting this code

#HospitalLocation
1VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$5.8k—
2VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$5.8k—
3IOM Health System LPFort Wayne, IN$1.7k$3.0k$2.8k$7.7k$550
4Bluffton Health System LLCBluffton, IN$1.7k$2.7k$2.6k$7.7k$650
5Dukes Health System LLCPeru, IN$77$133$130$416$23
6Warsaw Health System LLCWarsaw, IN$1.8k$3.2k$3.1k$7.7k$549
7Lutheran Musculoskeletal Center LLCFort Wayne, IN$1.7k$3.0k$2.9k$7.7k$602
8St. Joseph Health System, LLCIN 46802, IN$100$2.7k$2.4k$7.7k$1.0k
9Dupont Hospital LLCIN 46825, IN$1.7k$3.0k$2.8k$7.7k$550
10La Porte Hospital Company LLCLa Porte, IN$1.7k$2.4k$2.6k$7.7k$691
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