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EAPG 476

Level I Radiation Treatment Preparation & Planning

Reported by 9 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$54

Average

$169

Median

$108

High

$523

Hospitals reporting this code

#HospitalLocation
1Meriter Hospital, IncMadison, WI$54$54$54$54—
2Triad of Alabama LLCAL 36305, AL$74$74$74$172—
3The George Washington University HospitalWashington, DC—$330$330—$43
4Wellington Regional Medical CenterWellington, FL—$78$81—$5
5Manatee Memorial HospitalBradenton, FL—$83$84—$5
6St. Mary's Regional Medical CenterEnid, OK—$504$523—$85
7Catholic Health Initiatives ColoradoPueblo, CO$108$108$108$108—
8Catholic Health Initiatives ColoradoFort Morgan, CO$126$126$126$126—
9Catholic Health Initiatives ColoradoCanon City, CO$137$137$137$137—

Look up this code directly

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