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CPT 99363

99363 ANTICOAGULANT MGMT INITIAL

Reported by 35 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

$66

Average

$352

Median

$279

High

$756

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$44$71$102$264$64
2Bluffton Health System LLCBluffton, IN$43$62$80$238$35
3Dukes Health System LLCPeru, IN$33$41$83$331$71
4Warsaw Health System LLCWarsaw, IN$38$64$97$220$58
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$43$62$90$207$53
6St. Joseph Health System, LLCWayne, IN$43$62$93$207$55
7Dupont Hospital LLCWayne, IN$43$54$66$186$24
8Memorial Hospital of Laramie CountyCheyenne, WY$154$154$154$154—
9The Medical Center of Central Georgia IncMacon, GA$138$168$168$197$30
10Central Georgia Rehabilitation LLCMacon, GA$138$168$168$197$30
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