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CPT G0537

PR RISK ASCVD TST ONCE PR 12 MO

Reported by 6 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

$18

Average

$45

Median

$52

High

$70

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$8$56$51$182$10
2University of Iowa Health Care Medical CenterIowa City, IA$8$56$52$182$10
3Saint Alphonsus Regional Medical Center - BoiseBoise, ID$11$26$27$107$6
4Mercy Health Services-Iowa Corp.Mason City, IA$22$45$53$350$16
5Covenant Medical Center IncWaterloo, IA$5$21$18$231$4
6Samaritan HospitalTroy, NY$9$58$70$108$19

Look up this code directly

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