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HCPCS 94625

HB PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMETRY MONITOR PER SESSION

Reported by 135 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

$29

Average

$88

Median

$79

High

$199

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$56$56$57$716$1
2University of Iowa Health Care Medical CenterIowa City, IA$56$57$57$716$1
3The Mount Sinai HospitalNew York, NY$74$75$75$77$2
4Aiken Regional Medical CentersWashington, DC—$52$52——
5Ukiah Adventist HospitalUkiah, CA$16$23$36$104$29
6Adventist Health Medical Center TehachapiTehachapi, CA$16$23$36$227$26
7Sonora Community HospitalSonora, CA$16$43$40$253$26
8Adventist Health TulareTulare, CA$16$23$33$104$25
9Rideout Memorial HospitalMarysville, CA$59$74$173$690$231
10Reedley Community HospitalReedley, CA$6$43$52$280$60
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