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HCPCS 86631

C PNEUMONIAE IGA AB 302

Reported by 51 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Low

$3

Average

$97

Median

$62

High

$284

Hospitals reporting this code

#HospitalLocation
1Spring Valley Hospital Medical CenterLas Vegas, NV—$225$284—$196
2Valley Health Speciality HospitalLas Vegas, NV—$225$284—$196
3Summerlin Hospital Medical CenterLas Vegas, NV—$225$284—$196
4West Henderson HospitalNV 89052, NV—$225$284—$196
5Henderson HospitalHenderson, NV—$225$284—$196
6Centennial HillsLas Vegas, NV—$225$284—$196
7McAllen Hospitals, LPMcAllen, TX—$193$278—$299
8McAllen Hospitals, LPEdinburg, TX—$193$278—$299
9McAllen Hospitals, LPMcAllen, TX—$193$278—$299
10McAllen Hospitals, LPEdinburg, TX—$193$278—$299
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