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  5. /Per diem
CPT 64895

NRV GRF MLTST HND/FOOT <4 CM

Reported by 20 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

$1.6k

Median

$365

High

$11.6k

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.
1Meriter Hospital, IncMadison, WI$11.9k$11.6k$2.6k—$7.3k$14.2k
2Tristar Centennial Medical CenterSPRING HILL, TN$2.0k$2.0k$186—$1.3k$6.4k
3Tristar Summit Medical CenterMT JULIET, TN$2.1k$2.0k$218—$1.3k$7.0k
4Tristar Ashland City Medical CenterAshland City, TN$1.5k$1.5k$167—$1.3k$6.4k
5Tristar Horizon Medical CenterDICKSON, TN$2.2k$2.1k$250—$1.3k$6.5k
6Tristar Hendersonville Medical CenterHENDERSONVILLE, TN$2.3k$2.2k$315—$1.3k$7.6k
7Tristar Skyline Medical CenterNASHVILLE, TN$2.0k$1.9k$154—$1.3k$7.0k
8Tristar Southern Hills Medical CenterANTIOCH, TN$2.3k$2.2k$327—$1.3k$8.7k
9Tristar Stonecrest Medical CenterSmyrna, TN$1.9k$1.9k$124—$1.3k$10.3k
10Methodist Hospital AtascosaJourdanton, TX$365$365——$365$365
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