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CPT A0428

Bls

Reported by 9 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

$135

Average

$615

Median

$300

High

$1.7k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$195$725$725$1.2k—
2St. Francis Hospital IncWilmington, DE$75$1.7k$1.7k$1.7k$204
3Benefis Hospitals IncFalls, MT$0$158$135$285$132
4Holy Rosary Healthcare Dba Intermountain Health Holy Rosary HospitalCITY, MT$389$401$496$629$115
5IHC Health Services Inc., DBA Intermountain Health Cassia Regional HospitalBurley, ID$1.4k$1.5k$1.5k$1.6k$112
6Benefis Senior ServicesGreat Falls, MT$0$142$142$285$142
7Mary Hitchcock Memorial HospitalLebanon, NH$214$287$300$647$72
8Cheshire Medical CenterKeene, NH$212$238$236$286$25
9The New London Hospital Association, Inc.NH 03257, NH$205$286$278$317$37

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