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HCPCS 96113

Devel tst phys/qhp ea addl

Reported by 21 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

$26

Average

$116

Median

$82

High

$281

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$12$12$26$68$24
2Spring Valley Hospital Medical CenterLas Vegas, NV—$56$56——
3Valley Health Speciality HospitalLas Vegas, NV—$56$56——
4Summerlin Hospital Medical CenterLas Vegas, NV—$56$56——
5West Henderson HospitalNV 89052, NV—$56$56——
6Henderson HospitalHenderson, NV—$56$56——
7Centennial HillsLas Vegas, NV—$56$56——
8Wellington Regional Medical CenterWellington, FL—$110$110—$4
9Northwest Texas Healthcare SystemAmarillo, TX—$215$215—$53
10Glendale Adventist Medical CenterGlendale, CA$47$157$205$496$120
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