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CPT 91065

Breath Hydrogen Test (Surgery)

Reported by 9 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

$31

Average

$279

Median

$229

High

$785

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$50$153$185$2.3k$37
2Bluffton Health System LLCBluffton, IN$202$228$228$939—
3Dukes Health System LLCPeru, IN$7$46$31$228$18
4Warsaw Health System LLCWarsaw, IN$217$245$245$939—
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$202$343$343$939$114
6St. Joseph Health System, LLCWayne, IN$50$153$180$2.3k$36
7Dupont Hospital LLCWayne, IN$202$286$286$939$57
8Poplar Bluff Regional Medical Center LLCPoplar Bluff, MO$228$892$785$1.1k$337
9La Porte Hospital Company LLCLa Porte, IN$203$229$229$931—

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