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EAPG 55

ARTHRD SI JT PLMT TARTCLR DV

Reported by 3 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

$12.4k

Average

$19.6k

Median

$21.4k

High

$25.2k

Hospitals reporting this code

#HospitalLocation
1Triad of Alabama LLCAL 36305, AL$7.1k$21.4k$21.4k$21.4k—
2Affinity Hospital LLCBirmingham, AL$25.2k$25.2k$25.2k$25.2k—
3Key West HMA LLCKey West, FL$11.0k$12.4k$12.4k$13.2k—

Look up this code directly

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