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  4. /97172
  5. /Per diem
CPT 97172

Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient's current functional status when there is a documented change; and A revised plan of ca

Reported by 70 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$26

Average

$328

Median

$228

High

$5.4k

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.
1Medical Ctiy ArgyleArgyle, TX$155$148$24—$106$276
2Medical City AllianceSAGINAW, TX$155$148$24—$106$276
3Medical City MckinneyMcKinney, TX$155$148$24—$106$276
4Medical City Las ColinasIrving, TX$155$148$24—$106$276
5Med City Heart HospitalDallas, TX$155$148$24—$106$276
6Medical City DentonArgyle, TX$155$148$24—$106$276
7Med City Spine HospitalDALLAS, TX$155$148$24—$106$276
8Medical City Surgery City AllianceFT WORTH, TX$155$148$24—$106$276
9Medical City DallasDallas, TX$155$148$24—$106$276
10Medical City ArlingtonRED OAK, TX$155$148$24—$106$276
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