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CPT 94011

SPIROMETRY UP TO 2 YRS OLD

Reported by 19 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

$148

Average

$609

Median

$552

High

$2.5k

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.
1West Virginia University Hospitals, Inc.Morgantown, WV$131$148$46—$63$328
2Wetzel County Hospital, Inc.New Martinsville, WV$138$149$27—$63$230
3East Cooper Medical Center LLCMt Pleasant, SC$2.6k$2.5k$746—$1.5k$3.3k
4South Carolina Coastal Medical Center LLCHardeeville, SC$1.9k$1.7k$594—$927$2.4k
5Community Medical CenterToms River, NJ$552$552$45—$507$596
6Newark Beth Israel Medical CenterNewark, NJ$552$552$45—$507$596
7Clara Maass Medical CenterBelleville, NJ$552$552$45—$507$596
8Monmouth Medical CenterLong Branch, NJ$552$552$45—$507$596
9Monmouth Medical Center Southern CampusLakewood, NJ$552$552$45—$507$596
10Cooperman Barnabas Medical CenterLivingston, NJ$552$552$45—$507$596
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