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CPT 84030

PHENYLALANINE, BLOOD

Reported by 32 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

$13

Median

$7

High

$120

Hospitals reporting this code

#HospitalLocation
1Northwest Sahurita Hospital LLCTucson, AZ$5$6$8$209$5
2Northwest Sahurita Hospital LLCSahuarita, AZ$5$6$8$209$5
3Oro Valley Hospital LLCTucson, AZ$5$6$8$313$4
4Northwest Hospital LLCTucson, AZ$5$6$8$313$4
5Foley Hospital Company LLCFoley, AL$3$6$6$309$1
6QHG of Enterprise IncEnterprise, AL$3$6$49$433$115
7Bullhead City Hospital CorporationCity, AZ$4$6$28$535$82
8Crestview Hospital CorporationCrestview, FL$3$7$7$14$1
9East Georgia Regional Medical Center LLCStatesboro, GA$5$8$8$114$3
10Moberly Hospital Company LLCMoberly, MO$5$7$7$187—
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