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CPT 99224

99224,25 SUBSEQUENT OBSERVATION CARE

Reported by 14 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$45

Average

$72

Median

$55

High

$110

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.
1IOM Health System LPFort Wayne, IN$40$45$20—$17$119
2Bluffton Health System LLCBluffton, IN$52$54$23—$17$107
3Dukes Health System LLCPeru, IN$48$51$20—$13$190
4Warsaw Health System LLCWarsaw, IN$50$55$23—$14$119
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$41$45$20—$17$119
6St. Joseph Health System, LLCWayne, IN$53$55$25—$17$119
7Dupont Hospital LLCWayne, IN$42$48$21—$17$107
8La Porte Hospital Company LLCLa Porte, IN$74$55$39—$0$95
9UPMC ColeCoudersport, PA$64$56$22—$27$79
10Vanderbilt Wilson County HospitalLebanon, TN$102$110$22—$25$165
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