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  5. /Per diem
CPT 90863

PHARMACOLOGIC MGMT W/PSYTX

Reported by 14 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$140

Average

$579

Median

$184

High

$5.4k

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.
1University of Colorado Hospital AuthorityAurora, CO$213$213$38—$24$264
2Longs Peak HospitalLongmont, CO$173$175$25—$25$210
3Poudre Valley Health Care, IncFort Collins, CO$272$230$58—$25$286
4Medical Center of the RockiesLoveland, CO$272$230$58—$25$286
5UchmhsColorado Springs, CO$176$172$30—$25$212
6UchmhsColorado Springs, CO$176$172$30—$25$212
7UCHealth Grandview HospitalColorado Springs, CO$197$176$30—$25$207
8UCHealth Highlands Ranch HospitalHighlands Ranch, CO$183$184$26—$25$219
9UCHealth Broomfield HospitalBroomfield, CO$154$140$22—$25$187
10UCHealth Greeley HospitalGreeley, CO$243$211$53—$25$266
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