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CPT 81201

Q93797 APC GN FUL SQ

Reported by 16 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$0

Average

$1.9k

Median

$866

High

$19.3k

Hospitals reporting this code

#HospitalLocation
1Naples HMA LLCNaples, FL$99$445$915$4.0k$1.2k
2Naples HMA LLCNaples, FL$99$445$915$4.0k$1.2k
3Naples HMA LLCNaples, FL$99$445$915$4.0k$1.2k
4Northwest Sahurita Hospital LLCTucson, AZ$314$784$1.1k$2.3k$623
5Northwest Sahurita Hospital LLCSahuarita, AZ$314$784$1.1k$2.3k$623
6Cocke County HMA, LLCNewport, TN$108$756$817$1.6k$91
7Oro Valley Hospital LLCTucson, AZ$358$780$1.1k$2.3k$595
8Campbell County HMA, LLCLaFollette, TN$106$851$19.3k$74.9k$32.1k
9Northwest Hospital LLCTucson, AZ$351$780$1.1k$2.3k$582
10Jefferson County HMA LLCJefferson City, TN$100$753$764$1.6k$121
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