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EAPG 331

NM Pulmonary Perfusion w Vent Scan 1 - NM Pulmonar

Reported by 8 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

$270

Average

$620

Median

$542

High

$1.5k

Hospitals reporting this code

#HospitalLocation
1Durant HMA LLCDurant, OK$1.5k$1.5k$1.5k$1.5k—
2Triad of Alabama LLCAL 36305, AL$235$562$562$562—
3Affinity Hospital LLCBirmingham, AL$662$662$662$662—
4Foley Hospital Company LLCFoley, AL$530$530$530$530—
5QHG of Enterprise IncEnterprise, AL$235$507$507$507—
6Gadsden Regional Medical Center LLCGadsden, AL$555$555$555$555—
7Key West HMA LLCKey West, FL$362$409$409$434—
8HMA Santa Rosa Medical Center LLCMilton, FL$237$270$270$275$2

Look up this code directly

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