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EAPG 470

US Pregnancy Limited

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

$72

Average

$161

Median

$147

High

$280

Hospitals reporting this code

#HospitalLocation
1Durant HMA LLCDurant, OK$280$280$280$280—
2Marshall County HMA, LLCMadill, OK$246$246$246$246—
3Triad of Alabama LLCAL 36305, AL$62$149$149$149—
4Affinity Hospital LLCBirmingham, AL$175$175$175$175—
5Foley Hospital Company LLCFoley, AL$140$140$140$140—
6QHG of Enterprise IncEnterprise, AL$62$134$134$134—
7Gadsden Regional Medical Center LLCGadsden, AL$147$147$147$147—
8Key West HMA LLCKey West, FL$96$108$108$115—
9HMA Santa Rosa Medical Center LLCMilton, FL$63$72$72$73$1

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