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CPT 88331

HC SP CONSULT; 1ST TB W FS, SGL SP

Reported by 203 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$0

Average

$768

Median

$179

High

$28.9k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$72$172$225$408$98
2Northwest Iowa Hospital CorporationSioux City, IA$51$173$173$457$3
3St Luke's Methodist HospitalCedar Rapids, IA$65$164$164$427$2
4Trinity Medical CenterRock Island, IL$77$188$238$486$93
5Trinity Medical CenterBettendorf, IA$68$166$176$440$31
6Unity HealthcareMuscatine, IA$68$166$221$515$97
7Trinity Regional Medical CenterFort Dodge, IA$90$164$164$450$2
8Meriter Hospital, IncMadison, WI$41$112$117$373$50
9Central Iowa Hospital CorporationDes Moines, IA$65$166$166$417$2
10Central Iowa Hospital CorporationDes Moines, IA$51$177$177$440$3
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