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EAPG 57

TOT DISC ARTHRP 1NTRSPC CRV

Reported by 6 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

$11.7k

Average

$18.0k

Median

$18.6k

High

$22.6k

Hospitals reporting this code

#HospitalLocation
1Triad of Alabama LLCAL 36305, AL$10.2k$19.2k$19.2k$19.2k—
2Affinity Hospital LLCBirmingham, AL$22.6k$22.6k$22.6k$22.6k—
3Foley Hospital Company LLCFoley, AL$18.1k$18.1k$18.1k$18.1k—
4QHG of Enterprise IncEnterprise, AL$10.2k$17.3k$17.3k$17.3k—
5Gadsden Regional Medical Center LLCGadsden, AL$19.0k$19.0k$19.0k$19.0k—
6HMA Santa Rosa Medical Center LLCMilton, FL$10.3k$11.7k$11.7k$11.9k$103

Look up this code directly

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