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CPT G0538

PR ASCVD RSK MNG CLIN STF PR MO

Reported by 30 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$34

Average

$95

Median

$89

High

$166

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$8$9$38$150$49
2University of Iowa Health Care Medical CenterIowa City, IA$8$9$36$150$48
3Virginia Mason Medical CenterSeattle, WA$71$101$154$341$101
4Mercy Health Services-Iowa Corp.Mason City, IA$24$104$104$350—
5IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$34$89$80$103$28
6IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$34$96$82$119$31
7IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$34$102$85$117$31
8IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$34$103$101$113$18
9IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$34$102$86$119$31
10Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$93$176$166$254$58
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