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CPT 95980

95980 IO ANAL GAST N-STIM INIT

Reported by 8 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

$30

Average

$118

Median

$45

High

$428

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.
1Bluffton Health System LLCBluffton, IN$30$30——$28$104
2Dukes Health System LLCPeru, IN$37$36$6—$21$116
3St. Joseph Health System, LLCWayne, IN$116$116——$28$116
4La Porte Hospital Company LLCLa Porte, IN$31$31——$31$107
5East Cooper Medical Center LLCMt Pleasant, SC$227$216$66—$130$290
6South Carolina Coastal Medical Center LLCHardeeville, SC$468$428$148—$230$586
7University of Arkansas for Medical SciencesLittle Rock, AR$38$44$11—$20$887
8The University of Tennessee Medical CenterKnoxville, TN$41$46$11—$33$72

Look up this code directly

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