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CPT 98975

HC REM THER MNTR 1ST SETUP&EDU

Reported by 6 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

Based on 6–60 billing samples across every hospital reporting.

Low

$21

Average

$96

Median

$93

High

$188

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 University Medical CenterNashville, TN$124$90$876–60$22$283
2Vanderbilt Wilson County HospitalLebanon, TN$93$84$89—$18$283
3Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$130$96$93—$18$293
4Vanderbilt Bedford HospitalShelbyville, TN$130$96$93—$18$293
5Stony Brook University HospitalStony Brook, NY$165$188$45—$165$4.3k
6Childrens Hospital of Los AngelesAngeles, CA$19$21$5—$6$43

Look up this code directly

Ask Claude or any MCP client for CPT 98975 pricing at a specific hospital — see how to connect.

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