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CPT 826T

PRGRMG EVL LDLS PM 1CHMBR IP

Reported by 75 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$2

Average

$59

Median

$51

High

$230

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.
1VHS Harper-Hutzel Hospital IncDetroit, MI$2$2$1—$0$3
2VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$2$2$1—$0$3
3Amisub of South Carolina, Inc.Fort Mill, SC$1$8$18—$0$3.1k
4VHS Acquisition Subsidiary Number 9 IncNatick, MA$53$50$3—$46$53
5VHS Acquisition Subsidiary Number 9 IncFramingham, MA$53$50$3—$46$53
6VHS Acquisition Subsidiary Number 7 IncWorcester, MA$64$62$3—$58$64
7Forsyth Memorial Hospital, Inc.Winston-Salem, NC$37$41$12—$36$72
8Santa Rosa Hospital - Westover HillsSan Antonio, TX$37$51$30—$35$133
9Novant Health New Hanover Regional Medical Center LLCWilmington, NC$38$46$17—$37$90
10Southeast Texas Orthopedic Specialty CenterPort Arthur, TX$39$62$46—$37$183
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