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CPT 81203

Q93797 APC GN DD VAR

Reported by 13 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

$738

Median

$249

High

$7.6k

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.
1Naples HMA LLCNaples, FL$127$256$297—$83$1.0k
2Naples HMA LLCNaples, FL$127$256$297—$83$1.0k
3Naples HMA LLCNaples, FL$127$256$297—$83$1.0k
4Cocke County HMA, LLCNewport, TN$250$249$40—$70$756
5Campbell County HMA, LLCLaFollette, TN$274$7.6k$12.8k—$70$29.7k
6Jefferson County HMA LLCJefferson City, TN$245$247$35—$70$756
7Metro Knoxville HMA LLCKnoxville, TN$250$249$40—$70$662
8Metro Knoxville HMA LLCPowell, TN$250$249$40—$70$756
9Vanderbilt Wilson County HospitalLebanon, TN$0$0——$124$429
10Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$0$0——$86$429
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