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CPT 86960

PR VOL REDUCTION BLOOD/ BLOOD PROD

Reported by 79 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$12

Average

$200

Median

$186

High

$433

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$18$45$45$58—
2Northwest Iowa Hospital CorporationSioux City, IA$13$13$13$58—
3Saint Alphonsus Regional Medical Center - BoiseBoise, ID$4$171$171$171—
4Saint Alphonsus Medical Center - NampaNampa, ID$4$169$162$171$20
5Saint Alphonsus Medical Center - OntarioOntario, OR$51$57$76$184$43
6Saint Alphonsus Medical Center - Baker CityBaker City, OR$65$84$99$186$35
7UPMC Western MarylandCumberland, MD$54$54$54$54—
8Vanderbilt Wilson County HospitalLebanon, TN$2$120$134$365$47
9Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$2$120$144$365$52
10Vanderbilt University Medical CenterNashville, TN$2$120$148$365$53
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