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CPT 4201F

EXTRNL BEAM OTHER THAN PROST

Reported by 21 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

$3.1k

Average

$5.3k

Median

$5.1k

High

$7.1k

Hospitals reporting this code

#HospitalLocation
1Northside Hospital, Inc.Lawrenceville, GA$5.3k$6.0k$7.0k$50k$2.0k
2Northside Hospital, Inc.Canton, GA$5.3k$6.0k$7.0k$50k$2.0k
3Northside Hospital, Inc.Atlanta, GA$5.3k$6.0k$7.0k$50k$2.0k
4Northside Hospital, Inc.Duluth, GA$5.3k$6.0k$7.0k$50k$2.0k
5Northside Hospital, Inc.Cumming, GA$5.3k$6.0k$7.0k$50k$2.0k
6Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$5.8k$5.8k$5.8k$5.8k—
7Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$5.8k$5.8k$5.8k$5.8k—
8Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$5.8k$5.8k$5.8k$5.8k—
9St. Michael Hospital - AtlantaAtlanta, TX$4.1k$4.1k$4.1k$4.1k—
10St. Michael Rehabilitation HospitalTexarkana, TX$4.1k$4.1k$4.1k$4.1k—
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