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CPT 81201

Q93797 APC GN FUL SQ

Reported by 13 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

$466

Average

$810

Median

$756

High

$2.3k

Hospitals reporting this code

#HospitalLocation
1Naples HMA LLCNaples, FL$99$423$466$4.0k$155
2Naples HMA LLCNaples, FL$99$433$473$4.0k$150
3Naples HMA LLCNaples, FL$99$423$466$4.0k$155
4Northwest Sahurita Hospital LLCTucson, AZ$314$772$772$2.3k$8
5Northwest Sahurita Hospital LLCSahuarita, AZ$314$772$772$2.3k$8
6Cocke County HMA, LLCNewport, TN$108$756$759$1.6k$3
7Oro Valley Hospital LLCTucson, AZ$358$772$772$2.3k$8
8Campbell County HMA, LLCLaFollette, TN$106$752$752$74.9k$11
9Northwest Hospital LLCTucson, AZ$351$772$772$2.3k$8
10Jefferson County HMA LLCJefferson City, TN$100$756$756$1.6k—
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