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  5. /Fee schedule
CPT 378U

RFC1 REPEAT XPNSJ VRNT ALYS

Reported by 83 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

$40

Average

$144

Median

$144

High

$227

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$40$61—$1$137
2VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$1$40$61—$1$137
3Vhs Of Arrowhead, IncPhoenix, AZ$104$135$111—$77$480
4Vhs Of Phoenix IncPhoenix, AZ$123$132$95—$77$480
5VHS Acquisition Subsidiary Number 1 IncCave Creek, AZ$104$135$111—$77$480
6Vhs Of Arrowhead, IncGlendale, AZ$104$135$111—$77$480
7Vhs Of Arrowhead, IncSurprise, AZ$104$135$111—$77$480
8SMSJ Tucson Holdings LLCTucson, AZ$123$167$134—$93$520
9Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$123$227$161—$70$495
10Amisub of South Carolina, Inc.Fort Mill, SC$137$119$22—$93$137
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