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HCPCS 96121

Nubhvl xm phy/qhp ea addl hr

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

$37

Average

$759

Median

$749

High

$1.9k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$18$18$37$92$32
2Ukiah Adventist HospitalUkiah, CA$63$101$101$167—
3Adventist Health Medical Center TehachapiTehachapi, CA$35$102$110$167$12
4Sonora Community HospitalSonora, CA$63$114$122$177$17
5Reedley Community HospitalReedley, CA$28$106$307$935$336
6Adventist Health Mendocino CoastBragg, CA$70$143$143$186$43
7Lodi Memorial Hospital Association IncLodi, CA$48$126$268$612$220
8Willits Hospital IncWillits, CA$37$101$101$158—
9Providence Health System - Southern CaliforniaBurbank, CA$353$839$749$965$235
10Providence Health System - Southern CaliforniaMission Hills, CA$353$862$767$993$246
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