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EAPG 428

Breathing Tx Ed/Demo Charge - Yes

Reported by 4 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

$91

Average

$127

Median

$105

High

$207

Hospitals reporting this code

#HospitalLocation
1Durant HMA LLCDurant, OK$207$207$207$207—
2Triad of Alabama LLCAL 36305, AL$96$96$96$96—
3Affinity Hospital LLCBirmingham, AL$113$113$113$113—
4Foley Hospital Company LLCFoley, AL$91$91$91$91—

Look up this code directly

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