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CPT 86972

HC PRETREAT RBC; DGS

Reported by 761 hospitals in the network.

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.

National pricing summary

Based on 17,999,999,982 billing samples across every hospital reporting.

Low

$13

Average

$22.5k

Median

$168

High

$16949.5k

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.
1St. Joseph Health System, LLCWayne, IN$286$16949.5k$129080.9k15,999,999,984$17$741
2Bluffton Health System LLCBluffton, IN$320$347$1731,999,999,998$17$741
3The Finley HospitalDubuque, IA$151$139$105—$21$396
4Northwest Iowa Hospital CorporationSioux City, IA$130$144$128—$15$457
5St Luke'sJones Regional Medical CenterAnamosa, IA$91$105$60—$21$206
6Medical Ctiy ArgyleArgyle, TX$153$226$120—$35$500
7Medical City AllianceSAGINAW, TX$149$203$115—$33$470
8St Luke's Methodist HospitalCedar Rapids, IA$113$141$120—$21$427
9Trinity Medical CenterRock Island, IL$159$158$125—$21$486
10Trinity Medical CenterBettendorf, IA$128$148$129—$21$440
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Look up this code directly

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