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  5. /Per diem
CPT 80503

80503 AP Bill Clinical Pathology Consult 5-20 min

Reported by 46 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

$0

Average

$283

Median

$55

High

$5.4k

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.
1IOM Health System LPFort Wayne, IN$55$55——$49$227
2St. Joseph Health System, LLCWayne, IN$55$55——$49$227
3Dupont Hospital LLCWayne, IN$69$69$14—$49$227
4Victoria of Texas LPVictoria, TX$105$105——$52$115
5Victoria of Texas LPVictoria, TX$105$105——$52$115
6Cocke County HMA, LLCNewport, TN$51$51$0—$50$171
7Campbell County HMA, LLCLaFollette, TN$51$51$1—$50$7.9k
8Jefferson County HMA LLCJefferson City, TN$47$47——$47$110
9Metro Knoxville HMA LLCKnoxville, TN$47$47——$47$109
10Metro Knoxville HMA LLCPowell, TN$47$47$0—$47$112
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