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CPT 78216

HC NM LIVER SPLEEN W VASC FLOW

Reported by 245 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$47

Average

$1.7k

Median

$1.3k

High

$6.6k

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.
1The Finley HospitalDubuque, IA$467$486$237—$25$928
2Northwest Iowa Hospital CorporationSioux City, IA$697$510$351—$22$1.1k
3Medical Ctiy ArgyleArgyle, TX$2.3k$2.1k$1.2k—$290$4.1k
4St Luke's Methodist HospitalCedar Rapids, IA$675$660$143—$353$1.0k
5Trinity Medical CenterRock Island, IL$646$630$76—$313$1.1k
6Trinity Medical CenterBettendorf, IA$613$599$106—$346$1.0k
7Unity HealthcareMuscatine, IA$466$472$160—$307$1.2k
8Trinity Regional Medical CenterFort Dodge, IA$958$1.0k$220—$342$1.3k
9Grinnell Regional Medical CenterGrinnell, IA$1.1k$1.0k$353—$383$1.4k
10Medical City MckinneyMcKinney, TX$3.9k$3.6k$2.0k—$501$7.2k
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