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  5. /Fee schedule
CPT Q4001

Cast sup body cast plaster

Reported by 26 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

$50

Average

$125

Median

$148

High

$163

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Virginia Mason Medical CenterSeattle, WA$155$155——$155$155
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$168$163$12—$148$177
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$168$163$12—$148$177
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$168$163$12—$148$177
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$148$148——$148$148
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$168$163$12—$148$177
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$106$92$20—$65$106
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$93$93——$93$93
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$141$141$7—$134$148
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$90$90$1—$87$90
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