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EAPG 444

49281-0574-88 - nirsevimab (cvx 307) alip preserva

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

$146

Average

$1.2k

Median

$1.5k

High

$1.9k

Hospitals reporting this code

#HospitalLocation
1Durant HMA LLCDurant, OK$119$143$146$179$23
2Triad of Alabama LLCAL 36305, AL$539$1.6k$1.6k$1.6k—
3Affinity Hospital LLCBirmingham, AL$1.9k$1.9k$1.9k$1.9k—
4Foley Hospital Company LLCFoley, AL$1.5k$1.5k$1.5k$1.5k—
5QHG of Enterprise IncEnterprise, AL$539$1.5k$1.5k$1.5k—
6Gadsden Regional Medical Center LLCGadsden, AL$1.6k$1.6k$1.6k$1.6k—
7Key West HMA LLCKey West, FL$830$938$938$996—
8HMA Santa Rosa Medical Center LLCMilton, FL$544$620$620$631$5

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