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CPT 99224

99224,25 SUBSEQUENT OBSERVATION CARE

Reported by 5 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

$23

Average

$40

Median

$28

High

$88

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.
1Bluffton Health System LLCBluffton, IN$20$23$6—$17$107
2Dukes Health System LLCPeru, IN$25$27$8—$13$190
3St. Joseph Health System, LLCWayne, IN$77$88$22—$17$119
4La Porte Hospital Company LLCLa Porte, IN$28$28——$28$95
5The University of Tennessee Medical CenterKnoxville, TN$27$32$7—$27$41

Look up this code directly

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