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  5. /Per diem
CPT 78227

HEPA IMAG INCL GB W PHA

Reported by 95 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

$73

Average

$1.6k

Median

$1.1k

High

$23.4k

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.
1Hca Healthone Mountain RidgeThornton, CO$350$350——$350$11.7k
2Hca Healthone Northeast ErTHORNTON, CO$350$350——$350$11.7k
3IOM Health System LPFort Wayne, IN$574$574——$509$2.4k
4Bluffton Health System LLCBluffton, IN$574$574——$509$2.4k
5Dukes Health System LLCPeru, IN$697$697$10—$355$3.5k
6Warsaw Health System LLCWarsaw, IN$615$615——$545$2.4k
7Lutheran Musculoskeletal Center LLCFort Wayne, IN$862$862$287—$509$2.4k
8St. Joseph Health System, LLCWayne, IN$574$574——$509$2.4k
9Dupont Hospital LLCWayne, IN$718$718$144—$509$2.4k
10Natchez Hospital Company LLCNatchez, MS$516$516——$508$1.2k
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