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EAPG 249

Minor Ear, Nose, Mouth And Throat Procedures

Reported by 15 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

$47

Average

$157

Median

$124

High

$436

Hospitals reporting this code

#HospitalLocation
1Meriter Hospital, IncMadison, WI$47$47$47$47—
2Naples HMA LLCNaples, FL$118$123$123$137$6
3Naples HMA LLCFL 34114, FL$118$123$123$137$6
4Naples HMA LLCNaples, FL$118$123$123$137$6
5Triad of Alabama LLCAL 36305, AL$117$117$117$163—
6QHG of Enterprise IncEnterprise, AL$117$117$117$147—
7Key West HMA LLCKey West, FL$180$198$195$216$11
8Crestview Hospital CorporationCrestview, FL$118$120$122$137$6
9HMA Santa Rosa Medical Center LLCMilton, FL$118$124$124$137$6
10The George Washington University HospitalWashington, DC—$436$436—$57
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