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HCPCS 0904T

HB ECG ALGORITHMICALLY GEN 12 LD RDCD LD TRCG ONLY

Reported by 277 hospitals in the network.

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.

National pricing summary

Low

$15

Average

$84

Median

$76

High

$229

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$56$228$215$322$83
2University of Iowa Health Care Medical CenterIowa City, IA$56$228$214$322$85
3The Mount Sinai HospitalNew York, NY$74$74$74$74—
4Gundersen Luthern Medical Center IncLa Crosse, WI$63$63$63$63—
5Presence Chicago Hospitals NetworkChicago, IL$62$62$63$100$1
6St. Alexius Medical CenterEstates, IL$59$64$71$110$14
7Alexian Brothers Medical CenterVillage, IL$59$64$71$108$14
8Ascension Via Christi Hospital Manhattan, Inc.Manhattan, KS$55$55$65$154$23
9Ascension Via Christi Rehabilitation Hospital, Inc.Wichita, KS$55$55$68$154$27
10Ascension Via Christi Hospital St. Teresa, Inc.Wichita, KS$55$55$66$154$25
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