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EAPG 96

EP-EVAL LEAD,INDUC

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

$7.3k

Average

$8.9k

Median

$9.0k

High

$10.7k

Hospitals reporting this code

#HospitalLocation
1Triad of Alabama LLCAL 36305, AL$4.2k$9.1k$9.1k$9.1k—
2Affinity Hospital LLCBirmingham, AL$10.7k$10.7k$10.7k$10.7k—
3Foley Hospital Company LLCFoley, AL$8.6k$8.6k$8.6k$8.6k—
4Gadsden Regional Medical Center LLCGadsden, AL$9.0k$9.0k$9.0k$9.0k—
5Key West HMA LLCKey West, FL$6.5k$7.3k$7.3k$7.8k—

Look up this code directly

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