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  4. /98975
  5. /Per diem
CPT 98975

HC OT REM THER MNTR 1ST SETUP & EDU

Reported by 10 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

$24

Average

$696

Median

$168

High

$5.4k

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$252$252$25—$18$283
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$277$277——$18$293
3Vanderbilt Bedford HospitalShelbyville, TN$277$277——$18$293
4Navicent Health Baldwin IncMilledgeville, GA$112$112——$82$232
5Arthur G James Cancer Hospital And Research InstituteColumbus, OH$5.4k$5.4k$434—$104$5.8k
6Childrens Hospital of Los AngelesAngeles, CA$25$24$3—$6$43
7Hospital for Special SurgeryNew York, NY$204$168$48—$10$275
8Hospital for Special SurgeryNew York, NY$204$168$48—$10$275
9Hospital for Special SurgeryBrooklyn, NY$204$154$66—$10$275
10Hospital for Special SurgeryWater Mill, NY$204$168$47—$10$275

Look up this code directly

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