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CPT 54250

NCTRNL PEN TMSCN&/RGDITY TST

Reported by 361 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

$10

Average

$2.3k

Median

$1.8k

High

$14.0k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$77$237$208$562$70
2Northwest Iowa Hospital CorporationSioux City, IA$215$245$245$649$4
3Medical Ctiy ArgyleArgyle, TX$16$1.8k$1.8k$4.3k$581
4Medical City AllianceSAGINAW, TX$18$1.8k$2.0k$4.3k$511
5St Luke's Methodist HospitalCedar Rapids, IA$214$233$233$606$3
6Trinity Medical CenterRock Island, IL$77$259$231$690$89
7Trinity Medical CenterBettendorf, IA$209$235$250$625$44
8Unity HealthcareMuscatine, IA$77$229$213$731$78
9Trinity Regional Medical CenterFort Dodge, IA$207$232$232$638$3
10Meriter Hospital, IncMadison, WI$13$235$330$3.9k$361
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