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CPT 87280

Q5291 RSV AG DFA

Reported by 12 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

$12

Average

$75

Median

$24

High

$511

Hospitals reporting this code

#HospitalLocation
1Cocke County HMA, LLCNewport, TN$5$17$17$125$3
2Campbell County HMA, LLCLaFollette, TN$5$18$511$2.0k$856
3Jefferson County HMA LLCJefferson City, TN$5$16$17$125$2
4Metro Knoxville HMA LLCKnoxville, TN$5$17$17$89$3
5Metro Knoxville HMA LLCPowell, TN$5$17$17$125$3
6Affinity Hospital LLCBirmingham, AL$9$15$31$121$29
7Foley Hospital Company LLCFoley, AL$7$13$12$673$3
8Laredo Texas Hospital Company LPLaredo, TX$11$22$60$385$47
9Granbury Hospital CorporationGranbury, TX$8$22$38$124$32
10Vanderbilt Clarksville HospitalClarksville, TN$5$15$50$428$114
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