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CPT 99342

99342,25 HOME VISIT NEW PATIENT

Reported by 7 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

$42

Average

$74

Median

$58

High

$162

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$40$42$2—$37$153
2Dukes Health System LLCPeru, IN$54$50$9—$29$170
3St. Joseph Health System, LLCWayne, IN$162$162$8—$37$170
4La Porte Hospital Company LLCLa Porte, IN$55$55——$55$190
5DUKE UNIVERSITY HEALTH SYSTEM, INC. Doing Business As: DUKE UNIVERSITY HOSPITALRaleigh, NC$75$75$1—$65$181
6DUKE UNIVERSITY HEALTH SYSTEM, INC. Doing Business As: DUKE UNIVERSITY HOSPITALDurham, NC$75$75$1—$65$181
7Penn Medicine Princeton Medical CenterPlainsboro, NJ$88$58$34—$8$88

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