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CPT G0109

HC Training Self Management Diabetes Group Outpatient Department per 30 Minutes

Reported by 7 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$275

Average

$631

Median

$723

High

$826

Hospitals reporting this code

#HospitalLocation
1The Mercy Hospital IncSpringfield, MA$16$558$558$558—
2Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$13$763$723$776$143
3Mount Carmel DublinDublin, OH$14$442$384$442$82
4Mount Carmel Grove CityGrove City, OH$14$442$826$1.8k$670
5Mount Carmel St Ann'sWesterville, OH$14$442$826$1.8k$670
6Mount Carmel EastColumbus, OH$14$442$826$1.8k$670
7Baylor Scott & White Medical Center - HillcrestWaco, TX$13$265$275$294$14

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