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CPT D0220

HC Intraoral Periapical First Radiographic Image (Restricted Jnpl)

Reported by 4 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

$89

Average

$457

Median

$455

High

$830

Hospitals reporting this code

#HospitalLocation
1Mercy Medical Center - DubuqueDubuque, IA$1$646$789$1.3k$241
2Mercy Health Services-Iowa Corp.Mason City, IA$1$697$830$1.4k$249
3Benefis Hospitals IncFalls, MT$89$89$122$258$65
4Benefis Senior ServicesGreat Falls, MT$89$89$89$89—

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