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CPT C7903

HOPD MNTL HLT, GRP

Reported by 9 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

$53

Average

$388

Median

$549

High

$590

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$46$53$53$61$5
2St Joseph Mercy Ann ArborYpsilanti, MI$36$111$124$239$50
3St. Joseph's Mercy Hospital, CentervilleCenterville, IA$202$689$549$735$210
4Mercy Medical Center - New HamptonNew Hampton, IA$291$695$577$735$158
5Mercy Hospital of Franciscan Sisters IncOelwein, IA$281$675$575$735$163
6Central Community HospitalElkader, IA$378$541$569$768$117
7Mercy Medical Center - DyersvilleDyersville, IA$278$608$590$827$112
8St Josephs Hospital Health CenterSyracuse, NY$35$197$215$273$55
9Samaritan HospitalTroy, NY$19$196$240$357$65

Look up this code directly

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