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CPT 92002

PR OPH SCVS MEDICAL XM&EVAL INTERMEDIATE NEW PT

Reported by 55 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$57

Average

$164

Median

$145

High

$616

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$42$201$201$201—
2Northwest Iowa Hospital CorporationSioux City, IA$42$57$57$127—
3University of Iowa Health Care Medical Center DowntownIowa City, IA$42$226$211$323$46
4Meriter Hospital, IncMadison, WI$20$49$67$202$49
5University of Iowa Health Care Medical CenterIowa City, IA$42$226$211$923$46
6IOM Health System LPFort Wayne, IN$27$82$88$185$41
7Bluffton Health System LLCBluffton, IN$26$94$101$185$42
8Dukes Health System LLCPeru, IN$20$86$93$192$36
9Warsaw Health System LLCWarsaw, IN$23$81$92$180$39
10Lutheran Musculoskeletal Center LLCFort Wayne, IN$26$75$80$192$37
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