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CPT 90863

PR PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY

Reported by 320 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

Low

$10

Average

$131

Median

$56

High

$5.3k

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.
1The Finley HospitalDubuque, IA$42$42$17—$13$68
2Northwest Iowa Hospital CorporationSioux City, IA$61$53$18—$19$79
3St Luke'sJones Regional Medical CenterAnamosa, IA$40$46$13—$33$63
4Medical Ctiy ArgyleArgyle, TX$10$10——$10$10
5Medical City AllianceSAGINAW, TX$10$10——$10$10
6St Luke's Methodist HospitalCedar Rapids, IA$69$75$35—$33$129
7Trinity Medical CenterRock Island, IL$42$37$19—$13$63
8Trinity Medical CenterBettendorf, IA$40$46$13—$33$63
9Unity HealthcareMuscatine, IA$40$40$16—$13$63
10Trinity Regional Medical CenterFort Dodge, IA$40$46$13—$33$63
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