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CPT 98972

98972 QUAL NONMD ONLINE EST PT 21+ MIN

Reported by 25 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

$25

Average

$147

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.
1IOM Health System LPFort Wayne, IN$53$52$10—$20$99
2Bluffton Health System LLCBluffton, IN$53$48$12—$19$99
3Dukes Health System LLCPeru, IN$26$25$5—$16$81
4Warsaw Health System LLCWarsaw, IN$53$52$9—$17$99
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$56$51$11—$29$354
6Natchez Hospital Company LLCNatchez, MS$43$61$48—$9$188
7Gadsden Regional Medical Center LLCGadsden, AL$33$75$85—$29$246
8Granbury Hospital CorporationGranbury, TX$34$26$17—$3$93
9La Porte Hospital Company LLCLa Porte, IN$46$46$13—$25$99
10East Cooper Medical Center LLCMt Pleasant, SC$315$299$91—$180$402
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