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CPT 91200

HB Liver Elastography W/O Imag W/I&R

Reported by 45 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

$62

Average

$238

Median

$164

High

$2.0k

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$67$148$148$346—
2Northwest Sahurita Hospital LLCAZ 85748, AZ$83$105$126$370$33
3Northwest Sahurita Hospital LLCAZ 85629, AZ$83$105$126$370$33
4Oro Valley Hospital LLCTucson, AZ$19$107$127$555$31
5Northwest Hospital LLCAZ 85741, AZ$19$121$127$555$30
6Granbury Hospital CorporationGranbury, TX$18$159$175$710$62
7Catholic Health Initiatives ColoradoColorado Springs, CO$20$62$62$11.0k—
8Saint Marys HospitalWaterbury, CT$142$458$407$3.2k$107
9The Mercy Hospital IncSpringfield, MA$151$159$198$2.2k$69
10Saint Alphonsus Regional Medical Center - BoiseBoise, ID$133$140$188$9.5k$79
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