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CPT 95004

PERQ TESTS W/ALRGNC XTRCS

Reported by 99 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$0

Average

$1.3k

Median

$971

High

$19.7k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$24$993$803$2.4k$418
2Northwest Iowa Hospital CorporationSioux City, IA$901$1.0k$1.0k$2.7k$15
3St Luke's Methodist HospitalCedar Rapids, IA$895$976$976$2.5k$14
4Trinity Medical CenterRock Island, IL$22$1.1k$901$2.9k$485
5Trinity Medical CenterBettendorf, IA$19$985$1.0k$2.6k$186
6Unity HealthcareMuscatine, IA$19$957$831$3.1k$434
7Trinity Regional Medical CenterFort Dodge, IA$867$971$971$2.7k$14
8Meriter Hospital, IncMadison, WI$2$4$365$983$472
9Central Iowa Hospital CorporationDes Moines, IA$969$983$983$2.5k$14
10Central Iowa Hospital CorporationDes Moines, IA$980$1.1k$1.1k$2.6k$15
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