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HCPCS 19288

Perq dev breast add mr guide

Reported by 40 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

$84

Average

$1.5k

Median

$2.0k

High

$3.0k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$67$3.0k$2.7k$4.7k$1.5k
2Ukiah Adventist HospitalUkiah, CA$35$62$171$19.5k$311
3Adventist Health Medical Center TehachapiTehachapi, CA$20$63$249$1.8k$470
4Sonora Community HospitalSonora, CA$53$67$279$1.6k$490
5Glendale Adventist Medical CenterGlendale, CA$55$58$84$8.9k$52
6Mid Columbia Medical CenterDalles, OR$52$72$229$1.5k$420
7Adventist Health TulareTulare, CA$53$57$206$1.4k$379
8Rideout Memorial HospitalMarysville, CA$53$68$212$965$309
9Reedley Community HospitalReedley, CA$2$60$209$1.6k$425
10San Joaquin Community HospitalBakersfield, CA$40$59$269$8.7k$500
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