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  5. /Per diem
CPT 84620

D-XYLOSE ABSORPTION

Reported by 17 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

$11

Average

$385

Median

$50

High

$5.4k

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.
1Hca Healthone Mountain RidgeThornton, CO$350$350——$152$901
2Hca Healthone Northeast ErTHORNTON, CO$350$350——$152$901
3IOM Health System LPFort Wayne, IN$13$13——$11$355
4Bluffton Health System LLCBluffton, IN$13$13——$11$365
5Dukes Health System LLCPeru, IN$11$11——$10$56
6Warsaw Health System LLCWarsaw, IN$13$13——$11$286
7Lutheran Musculoskeletal Center LLCFort Wayne, IN$19$19$6—$11$394
8St. Joseph Health System, LLCWayne, IN$13$13——$11$394
9Dupont Hospital LLCWayne, IN$16$16$3—$11$298
10Granbury Hospital CorporationGranbury, TX$34$34——$13$473
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