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EAPG 256

TONSIL AND ADENOID PROCEDURES

Reported by 45 hospitals in the network.

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.

National pricing summary

Low

$651

Average

$2.8k

Median

$2.5k

High

$6.4k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$3.2k$3.2k$3.3k$3.5k$151
2Northwest Iowa Hospital CorporationSioux City, IA$3.2k$3.2k$3.3k$3.5k$151
3St Luke'sJones Regional Medical CenterAnamosa, IA$3.7k$3.7k$3.8k$4.1k$178
4St Luke's Methodist HospitalCedar Rapids, IA$3.2k$3.2k$3.3k$3.5k$151
5Trinity Medical CenterRock Island, IL$3.0k$4.1k$4.0k$4.1k$343
6Trinity Medical CenterBettendorf, IA$3.2k$3.2k$3.3k$3.5k$151
7Unity HealthcareMuscatine, IA$3.7k$3.7k$3.8k$4.1k$178
8Trinity Regional Medical CenterFort Dodge, IA$3.7k$3.7k$3.8k$4.1k$178
9Meriter Hospital, IncMadison, WI$672$672$672$672—
10Central Iowa Hospital CorporationDes Moines, IA$3.2k$3.2k$3.3k$3.5k$151
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Look up this code directly

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