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HCPCS 96155

Interv hlth/behav fam no pt

Reported by 11 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

$24

Average

$53

Median

$32

High

$102

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$23$23$24$26$1
2Covenant Medical CenterLubbock, TX$78$107$102$120$15
3Methodist Children's HospitalLubbock, TX$78$102$100$120$17
4Methodist Hospital PlainviewPlainview, TX$48$60$59$76$9
5Methodist Hospital LevellandLevelland, TX$50$60$62$81$9
6Lubbock Heritage Hospital LLCLubbock, TX$37$85$82$120$30
7Corewell Health Farmington Hills HospitalFarmington Hills, MI$28$28$28$28—
8William Beaumont HospitalRoyal Oak, MI$31$32$32$32$0
9William Beaumont HospitalTroy, MI$31$32$32$32$0
10William Beaumont HospitalGrosse Pointe, MI$32$32$32$32—
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