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CPT 31259

NSL/SINS NDSC SPHN TISS RMVL

Reported by 51 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$365

Average

$5.5k

Median

$6.4k

High

$20.5k

Hospitals reporting this code

#HospitalLocation
1Meriter Hospital, IncMadison, WI$7.0k$16.5k$16.2k$19.7k$3.6k
2Northwestern Medicine Central DuPage HospitalIL 60190, IL$425$425$425$695—
3Hca Florida Twin Cities HospitalNICEVILLE, FL$4.0k$11.3k$11.3k$49.3k—
4Hca Florida Lake Monroe HospitalSANFORD, FL$4.0k$7.1k$7.1k$30.1k—
5Hca Florida Ocala HospitalSUMMERFIELD, FL$4.0k$7.5k$7.5k$27.4k—
6Hca Florida West Marion HospitalOCALA, FL$4.0k$7.5k$7.5k$27.4k—
7Hca Florida Gulf Coast HospitalPANAMA CITY, FL$4.0k$5.1k$5.1k$34.6k—
8Hca Florida North Florida HospitalNEWBERRY, FL$4.0k$7.5k$7.5k$27.4k—
9Hca Florida West HospitalPENSACOLA, FL$4.0k$5.1k$5.1k$38.8k—
10Hca Florida Putnam HospitalPalatka, FL$4.0k$7.5k$7.5k$23.0k—
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