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CPT 75902

IR-REMVLOBSTR LUMEN - GL 106

Reported by 20 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$20

Average

$337

Median

$151

High

$2.4k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$38$151$151$201—
2St. Joseph Health System, LLCWayne, IN$36$151$152$190$6
3Dupont Hospital LLCWayne, IN$41$151$151$201—
4Jackson HMA LLCJackson, MS$6$125$2.4k$11.2k$3.8k
5Porter Hospital LLCValparaiso, IN$60$151$151$1.0k—
6Affinity Hospital LLCBirmingham, AL$57$324$444$1.0k$180
7Poplar Bluff Regional Medical Center LLCPoplar Bluff, MO$56$62$892$6.0k$1.6k
8La Porte Hospital Company LLCLa Porte, IN$80$151$145$355$16
9Northside Hospital, Inc.Lawrenceville, GA$37$233$418$1.2k$276
10Northside Hospital, Inc.Canton, GA$37$229$407$1.2k$296
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