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CPT G0279

HC Tomosynthesis Breast Diagnostic Lt

Reported by 34 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$24

Average

$189

Median

$45

High

$1.3k

Hospitals reporting this code

#HospitalLocation
1The Mercy Hospital IncSpringfield, MA$13$392$392$629—
2Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$13$477$544$1.0k$146
3Plymouth Medical CenterPlymouth, IN$7$315$281$315$69
4Mishawaka Medical CenterMishawaka, IN$7$315$281$315$69
5Mount Carmel New Albany Surgical HospitalNew Albany, OH$10$632$632$788—
6Mount Carmel Grove CityGrove City, OH$10$632$1.3k$4.2k$1.0k
7Diley Ridge Medical CenterCanal Winchester, OH$10$632$632$788—
8Mount Carmel St Ann'sWesterville, OH$10$632$632$788—
9Mount Carmel EastColumbus, OH$10$632$632$788—
10IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$12$45$45$125—
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