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CPT 91122

HB Anorectal Manometry

Reported by 31 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

$61

Average

$2.1k

Median

$533

High

$9.9k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$104$325$325$1.5k—
2IOM Health System LPFort Wayne, IN$153$1.0k$849$1.4k$323
3Bluffton Health System LLCBluffton, IN$56$61$61$210—
4Dukes Health System LLCPeru, IN$43$75$73$400$13
5St. Joseph Health System, LLCWayne, IN$56$950$771$1.4k$436
6Affinity Hospital LLCBirmingham, AL$44$3.5k$4.4k$12.3k$3.7k
7La Porte Hospital Company LLCLa Porte, IN$63$63$63$220—
8Samaritan HospitalTroy, NY$42$620$950$4.6k$1.1k
9Mount Carmel DublinDublin, OH$185$646$646$854—
10Mount Carmel Grove CityGrove City, OH$185$777$775$854$16
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