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CPT 78216

HC NM LIVER SPLEEN W VASC FLOW

Reported by 141 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

$0

Average

$655

Median

$422

High

$17.5k

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.
1The Finley HospitalDubuque, IA$404$416$26—$235$928
2Northwest Iowa Hospital CorporationSioux City, IA$405$405$6—$351$1.1k
3St Luke's Methodist HospitalCedar Rapids, IA$386$386$6—$353$1.0k
4Trinity Medical CenterRock Island, IL$440$451$63—$313$1.1k
5Trinity Medical CenterBettendorf, IA$389$413$73—$346$1.0k
6Unity HealthcareMuscatine, IA$389$417$66—$347$1.2k
7Trinity Regional Medical CenterFort Dodge, IA$383$383$6—$342$1.3k
8Meriter Hospital, IncMadison, WI$388$388——$388$388
9Central Iowa Hospital CorporationDes Moines, IA$388$388$6—$383$978
10Central Iowa Hospital CorporationDes Moines, IA$416$416$6—$387$1.0k
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Look up this code directly

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