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CPT 98961

98961 SELF-MGMT EDUC/TRAIN 2-4 PT

Reported by 18 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

$8

Average

$181

Median

$215

High

$299

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$9$9——$8$30
2Dukes Health System LLCPeru, IN$11$10$2—$6$33
3St. Joseph Health System, LLCWayne, IN$33$66$47—$8$133
4East Cooper Medical Center LLCMt Pleasant, SC$315$299$91—$180$402
5South Carolina Coastal Medical Center LLCHardeeville, SC$322$294$102—$158$403
6Community Medical CenterToms River, NJ$215$215$18—$197$232
7Newark Beth Israel Medical CenterNewark, NJ$215$215$18—$197$232
8Clara Maass Medical CenterBelleville, NJ$215$215$18—$197$232
9Monmouth Medical CenterLong Branch, NJ$215$215$18—$197$232
10Monmouth Medical Center Southern CampusLakewood, NJ$215$215$18—$197$232
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