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CPT G0411

Interactive grp psyc php/iop

Reported by 26 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

$112

Average

$198

Median

$158

High

$451

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$85$125$451$1.5k$472
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$107$220$214$317$103
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$104$131$138$342$51
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$73$131$148$342$63
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$317$323$328$348$12
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$126$131$142$342$47
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$69$211$199$306$70
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$111$111$178$291$87
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$126$133$169$342$80
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$112$112$112$115$1
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