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EAPG 91

REMOVAL OF ARTERY CLOT

Reported by 11 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

$778

Average

$3.6k

Median

$2.7k

High

$10.4k

Hospitals reporting this code

#HospitalLocation
1Naples HMA LLCNaples, FL$2.5k$2.6k$2.6k$2.9k$118
2Naples HMA LLCNaples, FL$2.5k$2.6k$2.6k$2.9k$118
3Triad of Alabama LLCAL 36305, AL$2.5k$2.5k$2.5k$5.4k—
4Crestview Hospital CorporationCrestview, FL$2.5k$2.5k$2.6k$2.9k$116
5The George Washington University HospitalWashington, DC—$10.4k$10.4k—$1.4k
6Wellington Regional Medical CenterWellington, FL—$2.7k$2.7k—$174
7Manatee Memorial HospitalBradenton, FL—$2.8k$2.9k—$181
8St. Mary's Regional Medical CenterEnid, OK—$749$778—$127
9Catholic Health Initiatives ColoradoPueblo, CO$3.7k$3.7k$3.7k$3.7k—
10Catholic Health Initiatives ColoradoFort Morgan, CO$4.3k$4.3k$4.3k$4.3k—
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