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EAPG 270

OT EVAL MOD COMPLEX 45 MIN

Reported by 6 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$37

Average

$132

Median

$44

High

$450

Hospitals reporting this code

#HospitalLocation
1Marshall County HMA, LLCMadill, OK$88$175$180$242$39
2Triad of Alabama LLCAL 36305, AL$41$41$41$259—
3Affinity Hospital LLCBirmingham, AL$48$48$48$48—
4Foley Hospital Company LLCFoley, AL$38$38$38$38—
5QHG of Enterprise IncEnterprise, AL$37$37$37$259—
6Key West HMA LLCKey West, FL$398$450$450$478—

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