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CPT 84081

PHOSPHATIDYLGLYCEROL

Reported by 16 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

$16

Median

$19

High

$41

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.
1Vicksburg Healthcare LLCVicksburg, MS$17$41$64—$15$242
2Northwest Sahurita Hospital LLCTucson, AZ$17$24$14—$16$118
3Northwest Sahurita Hospital LLCSahuarita, AZ$17$24$14—$16$118
4Oro Valley Hospital LLCTucson, AZ$17$23$13—$16$176
5Northwest Hospital LLCTucson, AZ$17$23$13—$16$176
6Triad of Alabama LLCDothan, AL$17$17$1—$6$122
7Gadsden Regional Medical Center LLCGadsden, AL$17$17$2—$12$650
8Vanderbilt Wilson County HospitalLebanon, TN$0$0——$16$55
9Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$0$0——$11$55
10Vanderbilt University Medical CenterNashville, TN$0$0——$16$55
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