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CPT 99149

MOD SED >5YO FIRST 30 MIN

Reported by 27 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$49

Average

$187

Median

$217

High

$237

Hospitals reporting this code

#HospitalLocation
1Twin City Hospital CorporationDennison, OH$79$163$146$212$52
2MaineHealthRockport, ME$56$56$56$56—
3The Medical Center of Central Georgia IncMacon, GA$106$147$147$188$41
4Central Georgia Rehabilitation LLCMacon, GA$106$147$147$188$41
5The Medical Center of Peach County IncByron, GA$106$106$106$106—
6Mary Hitchcock Memorial HospitalLebanon, NH$49$49$49$49—
7Navicent Health Baldwin IncMilledgeville, GA$106$106$106$106—
8Advocate Childrens Hospital Oak LawnOak Lawn, IL$218$235$234$248$12
9Advocate Christ Medical CenterOak Lawn, IL$214$231$229$243$12
10Advocate Lutheran General HospitalPark Ridge, IL$217$234$233$247$12
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