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CPT 87478

Q94322 B MIYAMOT PRB

Reported by 19 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

$39

Average

$142

Median

$43

High

$1.8k

Hospitals reporting this code

#HospitalLocation
1Cocke County HMA, LLCNewport, TN$13$44$44$586$9
2Campbell County HMA, LLCLaFollette, TN$13$52$1.8k$5.2k$2.4k
3Jefferson County HMA LLCJefferson City, TN$13$42$43$586$7
4Metro Knoxville HMA LLCKnoxville, TN$13$52$115$416$101
5Metro Knoxville HMA LLCPowell, TN$13$52$115$586$101
6Crestview Hospital CorporationCrestview, FL$22$43$43$122$8
7West Virginia University Hospitals, Inc.Morgantown, WV$23$37$40$55$8
8Camden-Clark Memorial Hospital CorporationParkersburg, WV$33$37$41$55$7
9Wheeling Hospital, Inc.Wheeling, WV$23$37$45$149$30
10Reynolds Memorial Hospital, Inc.Glen Dale, WV$23$37$39$55$7
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