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EAPG 00324

SCREENING FOR BEHAVIORAL CHANGE OR RISK ASSESSMENT

Reported by 7 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

$27

Average

$17.1k

Median

$56

High

$59.9k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$54.2k$59.9k$59.9k$65.6k$5.7k
2University of Iowa Health Care Medical CenterIowa City, IA$54.2k$59.9k$59.9k$65.6k$5.7k
3UPMC Horizon - GreenvilleGreenville, PA$26$27$27$28$1
4UPMC HamotErie, PA$28$75$71$104$34
5UPMC Childrens Hospital of PittsburghPittsburgh, PA$28$28$28$28—
6UPMC ChautauquaJamestown, NY$46$46$56$104$19
7UPMC JamesonNew Castle, PA$28$28$28$28—

Look up this code directly

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