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CPT 99437

HC Chronic Care Management Services MD/Qhp Ea Addl 30min per Calendar Month

Reported by 13 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

$80

Average

$136

Median

$130

High

$178

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.
1Mount Carmel New Albany Surgical HospitalNew Albany, OH$111$130$35—$106$632
2Mount Carmel DublinDublin, OH$111$125$29—$106$237
3Mount Carmel Grove CityGrove City, OH$111$130$35—$106$632
4Diley Ridge Medical CenterCanal Winchester, OH$111$129$35—$106$632
5Mount Carmel St Ann'sWesterville, OH$111$129$35—$106$632
6Mount Carmel EastColumbus, OH$111$129$35—$106$632
7Vanderbilt Wilson County HospitalLebanon, TN$173$177$31—$35$288
8Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$173$177$31—$35$288
9Vanderbilt University Medical CenterNashville, TN$173$177$31—$35$288
10Vanderbilt Bedford HospitalShelbyville, TN$173$178$31—$35$288
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