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CPT 81294

Q91460 MLH1 DUPDEL V

Reported by 28 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

$132

Median

$0

High

$2.3k

Hospitals reporting this code

#HospitalLocation
1Cocke County HMA, LLCNewport, TN$71$202$203$1.1k$1
2Campbell County HMA, LLCLaFollette, TN$71$201$201$30.1k$3
3Jefferson County HMA LLCJefferson City, TN$71$202$202$1.1k—
4Metro Knoxville HMA LLCKnoxville, TN$71$202$202$788—
5Metro Knoxville HMA LLCPowell, TN$71$200$200$1.1k$2
6Mount Carmel New Albany Surgical HospitalNew Albany, OH$41$69$60$830$13
7Mount Carmel DublinDublin, OH$41$69$60$830$13
8Mount Carmel Grove CityGrove City, OH$41$69$60$830$13
9Diley Ridge Medical CenterCanal Winchester, OH$41$55$50$830$7
10Mount Carmel St Ann'sWesterville, OH$41$69$60$830$13
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