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CPT 78999

HC NM UNLISTED MISC DIAGNOSTIC

Reported by 82 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

$208

Average

$960

Median

$764

High

$4.5k

Hospitals reporting this code

#HospitalLocation
1St Luke's Methodist HospitalCedar Rapids, IA$353$615$601$1.0k$130
2Trinity Regional Medical CenterFort Dodge, IA$342$828$891$1.1k$190
3Central Iowa Hospital CorporationDes Moines, IA$383$529$516$978$56
4Central Iowa Hospital CorporationDes Moines, IA$344$477$467$1.0k$103
5Allen Memorial Hospital CorporationWaterloo, IA$333$749$731$1.1k$98
6UnityPoint Health MarshalltownMarshalltown, IA$378$929$790$1.0k$232
7Medical City FriscoFrisco, TX$230$519$685$1.7k$432
8Hca Florida North Florida HospitalNEWBERRY, FL$1.1k$4.4k$4.5k$9.4k$2.6k
9Hca Florida Capital HospitalTALLAHASSEE, FL$176$570$579$1.1k$319
10Hca Houston Healthcare ConroeCONROE, TX$114$658$722$1.7k$423
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