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CPT 97811

HC ACUPUNCT W/O STIMUL ADDL

Reported by 16 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

$0

Average

$20

Median

$25

High

$36

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.
1Vanderbilt Wilson County HospitalLebanon, TN$0$0——$79$246
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$0$0——$55$246
3Vanderbilt University Medical CenterNashville, TN$0$0——$79$218
4Vanderbilt Bedford HospitalShelbyville, TN$0$0——$55$246
5West Virginia University Hospitals, Inc.Morgantown, WV$22$25$8—$13$55
6Camden-Clark Memorial Hospital CorporationParkersburg, WV$22$25$5—$18$36
7Wheeling Hospital, Inc.Wheeling, WV$22$27$17—$13$87
8Reynolds Memorial Hospital, Inc.Glen Dale, WV$22$23$5—$13$36
9Herbert J Thomas Memorial Hospital AssociationSouth Charleston, WV$22$36$29—$18$104
10Uniontown HospitalUniontown, PA$22$27$8—$18$172
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