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HCPCS 90838

Psychotherapy with evaluation and management visit, 1 hour

Reported by 6 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

$111

Average

$135

Median

$127

High

$203

Hospitals reporting this code

#HospitalLocation
1Sonora Community HospitalSonora, CA$111$111$124$369$31
2Mid Columbia Medical CenterDalles, OR$58$203$203$323—
3Reedley Community HospitalReedley, CA$41$111$131$935$34
4San Joaquin Community HospitalBakersfield, CA$91$112$112$167—
5Lodi Memorial Hospital Association IncLodi, CA$72$111$130$612$37
6Hanford Community HospitalHanford, CA$69$111$111$184—

Look up this code directly

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