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  5. /Per diem
CPT 80504

PTH CLIN CONS 21-40M

Reported by 34 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

$349

Median

$25

High

$8k

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.
1Victoria of Texas LPVictoria, TX$342$342——$168$377
2Victoria of Texas LPVictoria, TX$342$342——$168$377
3Cocke County HMA, LLCNewport, TN$166$166$1—$163$559
4Campbell County HMA, LLCLaFollette, TN$165$165$2—$162$25.8k
5Jefferson County HMA LLCJefferson City, TN$155$155——$152$358
6Metro Knoxville HMA LLCKnoxville, TN$155$155——$152$357
7Metro Knoxville HMA LLCPowell, TN$153$153$1—$152$360
8Gadsden Regional Medical Center LLCGadsden, AL$1.5k$1.5k——$159$1.5k
9Key West HMA LLCKey West, FL$65$65——$18$191
10Poplar Bluff Regional Medical Center LLCPoplar Bluff, MO$491$446$163—$180$619
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