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EAPG 40

APPLICATION, LONG LEG SPLINT

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

$57

Average

$316

Median

$64

High

$1.2k

Hospitals reporting this code

#HospitalLocation
1Durant HMA LLCDurant, OK$1.0k$1.2k$1.2k$1.5k$195
2Marshall County HMA, LLCMadill, OK$950$1.1k$1.2k$1.4k$186
3Triad of Alabama LLCAL 36305, AL$49$64$64$64—
4Affinity Hospital LLCBirmingham, AL$75$75$75$75—
5Foley Hospital Company LLCFoley, AL$60$60$60$60—
6QHG of Enterprise IncEnterprise, AL$49$57$57$57—
7Gadsden Regional Medical Center LLCGadsden, AL$63$63$63$63—
8Key West HMA LLCKey West, FL$76$86$86$91—
9HMA Santa Rosa Medical Center LLCMilton, FL$50$57$57$58$1

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