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EAPG 94

CARDIAC REHAB/MONITOR

Reported by 5 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

$31

Average

$79

Median

$33

High

$258

Hospitals reporting this code

#HospitalLocation
1Durant HMA LLCDurant, OK$211$252$258$316$41
2Triad of Alabama LLCAL 36305, AL$33$33$33$97—
3Affinity Hospital LLCBirmingham, AL$39$39$39$39—
4Foley Hospital Company LLCFoley, AL$31$31$31$31—
5Gadsden Regional Medical Center LLCGadsden, AL$33$33$33$33—

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