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  5. /Per diem
CPT 98970

98970 QUAL NONMD ONLINE EST PT 5-10 MIN

Reported by 12 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

$6

Average

$101

Median

$59

High

$407

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.
1IOM Health System LPFort Wayne, IN$12$12——$7$36
2Bluffton Health System LLCBluffton, IN$12$12——$7$36
3Dukes Health System LLCPeru, IN$6$6——$6$30
4Warsaw Health System LLCWarsaw, IN$12$12——$6$36
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$186$142$58—$11$232
6Natchez Hospital Company LLCNatchez, MS$122$111$64—$3$188
7Gadsden Regional Medical Center LLCGadsden, AL$172$407$561—$10$1.5k
8Granbury Hospital CorporationGranbury, TX$32$32——$1$33
9La Porte Hospital Company LLCLa Porte, IN$12$12——$9$36
10Prisma Health Richland HospitalCOLUMBIA, SC$188$188——$4$410
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