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CPT 99150

MOD SED DIFF PHYS/QHP ADD ON

Reported by 41 hospitals in the network.

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.

National pricing summary

Low

$17

Average

$87

Median

$87

High

$164

Hospitals reporting this code

#HospitalLocation
1St. Alexius Medical CenterEstates, IL$58$62$73$104$19
2Alexian Brothers Behavioral Health HospitalEstates, IL$62$104$87$104$20
3Alexian Brothers Medical CenterVillage, IL$58$62$72$104$18
4St. John Sapulpa, Inc.Sapulpa, OK$23$190$162$190$63
5Owasso Medical Facility, Inc.Owasso, OK$23$190$162$190$63
6St. John Medical Center, Inc.Tulsa, OK$23$193$164$193$63
7Jane Phillips Memorial Medical CenterBartlesville, OK$23$193$164$193$63
8Jane Phillips Nowata Hospital, Inc.Nowata, OK$23$193$164$193$63
9Memorial Hospital of Laramie CountyCheyenne, WY$119$119$121$130$4
10MaineHealthRockport, ME$20$20$20$20—
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