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CPT 81435

HCC SYND GSA PN

Reported by 10 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

$92

Average

$1.4k

Median

$1.6k

High

$1.9k

Hospitals reporting this code

#HospitalLocation
1East Georgia Regional Medical Center LLCStatesboro, GA$585$1.4k$1.9k$4.4k$1.0k
2Carlsbad Medical Center LLCCarlsbad, NM$175$1.3k$1.1k$5.2k$285
3Moberly Hospital Company LLCMoberly, MO$360$731$731$2.5k—
4Northside Hospital, Inc.Lawrenceville, GA$485$1.6k$1.7k$4.1k$828
5Northside Hospital, Inc.Canton, GA$455$1.6k$1.6k$4.1k$861
6Northside Hospital, Inc.Atlanta, GA$485$1.6k$1.7k$4.1k$812
7Northside Hospital, Inc.Duluth, GA$485$1.6k$1.7k$4.1k$826
8Northside Hospital, Inc.Cumming, GA$485$1.6k$1.6k$4.1k$865
9Uniontown HospitalUniontown, PA$172$1.4k$1.7k$3.0k$529
10Fairview Health ServicesMinneapolis, MN$92$92$92$5.1k—

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