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EAPG 49

DRAIN/INJECT, JOINT/BURSA

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

$181

Average

$640

Median

$348

High

$1.8k

Hospitals reporting this code

#HospitalLocation
1Durant HMA LLCDurant, OK$1.5k$1.8k$1.8k$2.2k$289
2Marshall County HMA, LLCMadill, OK$1.4k$1.7k$1.7k$2.1k$275
3Triad of Alabama LLCAL 36305, AL$158$352$352$352—
4Affinity Hospital LLCBirmingham, AL$415$415$415$415—
5Foley Hospital Company LLCFoley, AL$332$332$332$332—
6QHG of Enterprise IncEnterprise, AL$158$318$318$318—
7Gadsden Regional Medical Center LLCGadsden, AL$348$348$348$348—
8Key West HMA LLCKey West, FL$243$274$274$291—
9HMA Santa Rosa Medical Center LLCMilton, FL$159$181$181$185$2

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