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HCPCS 0256U

Tma/tmao prfl ms/ms ur alg

Reported by 195 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

$114

Average

$261

Median

$221

High

$1.5k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$128$245$310$619$167
2Crawford Long HospitalAtlanta, GA$120$162$175$339$52
3Ehca John's Creek, LlcJohns Creek, GA$120$162$175$339$52
4Dekalb Medical Center, IncDecatur, GA$120$162$175$339$52
5Emory UniversityAtlanta, GA$120$162$175$339$52
6Dekalb Medical Center, IncLithonia, GA$120$162$175$339$52
7Saint Josephs Hospital Of Atlanta IncAtlanta, GA$120$162$175$339$52
8Es Rehabilitation LlcAtlanta, GA$120$160$164$218$31
9Houston Hospitals IncWarner Robins, GA$120$162$177$339$56
10Houston Hospitals IncPerry, GA$120$162$177$339$56
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