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  5. /Per diem
CPT 97799

HC Pt Documentation Untimed (Restricted Bopl Nmpl Onpl Bcpl)

Reported by 93 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

$73

Average

$181

Median

$181

High

$466

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.
1Saint Alphonsus Regional Medical Center - BoiseBoise, ID$300$300——$4$300
2Saint Alphonsus Medical Center - NampaNampa, ID$300$300——$3$300
3Vanderbilt Wilson County HospitalLebanon, TN$252$252$25—$22$342
4Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$277$277——$22$342
5Vanderbilt Bedford HospitalShelbyville, TN$277$277——$22$342
6Santa Rosa Hospital - Westover HillsSan Antonio, TX$208$208——$208$359
7Southeast Texas Orthopedic Specialty CenterPort Arthur, TX$184$184——$74$313
8Christus Health Southeast TexasPort Arthur, TX$184$184——$74$313
9Christus Health Southeast TexasBeaumont, TX$184$184——$74$313
10CHRISTUS Hospital - OrangeOrange, TX$184$184——$74$313
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