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EAPG 396

AST-ST02

Reported by 9 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

$5

Average

$13

Median

$10

High

$27

Hospitals reporting this code

#HospitalLocation
1Durant HMA LLCDurant, OK$27$27$27$27—
2Marshall County HMA, LLCMadill, OK$23$23$23$23—
3Triad of Alabama LLCAL 36305, AL$4$11$11$11—
4Affinity Hospital LLCBirmingham, AL$12$12$12$12—
5Foley Hospital Company LLCFoley, AL$10$10$10$10—
6QHG of Enterprise IncEnterprise, AL$4$10$10$10—
7Gadsden Regional Medical Center LLCGadsden, AL$10$10$10$10—
8Key West HMA LLCKey West, FL$6$7$7$8—
9HMA Santa Rosa Medical Center LLCMilton, FL$4$5$5$5$0

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