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CPT 94005

PR VENT MANAGEMENT, HOME, > 30 MIN

Reported by 308 hospitals in the network.

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.

National pricing summary

Low

$84

Average

$293

Median

$236

High

$3.0k

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.
1The Finley HospitalDubuque, IA$211$241$96—$162$466
2Northwest Iowa Hospital CorporationSioux City, IA$202$192$50—$67$247
3St Luke'sJones Regional Medical CenterAnamosa, IA$204$206$29—$169$247
4Medical Ctiy ArgyleArgyle, TX$458$412$141—$222$656
5Medical City AllianceSAGINAW, TX$458$412$141—$222$656
6St Luke's Methodist HospitalCedar Rapids, IA$204$206$29—$169$247
7Trinity Medical CenterRock Island, IL$211$256$113—$162$466
8Trinity Medical CenterBettendorf, IA$204$206$29—$169$247
9University of Iowa Health Care Medical Center DowntownIowa City, IA$300$302$98—$83$447
10Unity HealthcareMuscatine, IA$204$241$99—$162$466
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