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CPT 96931

PR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ I&R 1ST

Reported by 347 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

$14

Average

$369

Median

$249

High

$3.2k

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$256$287$134—$149$567
2Northwest Iowa Hospital CorporationSioux City, IA$224$239$103—$121$427
3St Luke'sJones Regional Medical CenterAnamosa, IA$250$249$106—$149$427
4Medical Ctiy ArgyleArgyle, TX$844$754$251—$409$1.2k
5Medical City AllianceSAGINAW, TX$844$754$251—$409$1.2k
6St Luke's Methodist HospitalCedar Rapids, IA$250$249$105—$149$427
7Trinity Medical CenterRock Island, IL$234$274$146—$149$567
8Trinity Medical CenterBettendorf, IA$204$242$104—$149$427
9Unity HealthcareMuscatine, IA$250$273$137—$149$567
10Trinity Regional Medical CenterFort Dodge, IA$250$267$105—$149$427
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