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CPT 54438

Professional Services

Reported by 151 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

$638

Average

$4.7k

Median

$2.4k

High

$50k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$2.4k$2.9k$3.1k$4.2k$730
2Northwest Iowa Hospital CorporationSioux City, IA$2.4k$2.9k$3.1k$4.2k$730
3St Luke'sJones Regional Medical CenterAnamosa, IA$2.4k$2.9k$3.1k$4.2k$730
4Medical Ctiy ArgyleArgyle, TX$1.8k$1.8k$2.8k$16.1k$2.6k
5Medical City AllianceSAGINAW, TX$2.0k$2.0k$3.0k$16.1k$2.5k
6St Luke's Methodist HospitalCedar Rapids, IA$2.4k$2.9k$3.1k$4.2k$730
7Trinity Medical CenterRock Island, IL$2.4k$3.2k$3.3k$4.2k$790
8Trinity Medical CenterBettendorf, IA$2.4k$2.9k$3.1k$4.2k$730
9University of Iowa Health Care Medical Center DowntownIowa City, IA$0$3.1k$3.6k$5.0k$936
10Unity HealthcareMuscatine, IA$2.4k$2.9k$3.1k$4.2k$730
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