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HCPCS 97139

Physical medicine procedure

Reported by 22 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

$12

Average

$173

Median

$136

High

$395

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$17$34$32$50$10
2Northwest Texas Healthcare System, Inc.Amarillo, TX—$252$230—$50
3Wellington Regional Medical CenterWellington, FL—$295$295—$25
4Palmdale Regional Medical CenterPalmdale, CA—$11$12—$2
5Temecula Valley HospitalTemecula, CA—$10$15—$11
6Southwest HealthcareTemecula, CA—$13$12—$3
7Northwest Texas Healthcare SystemAmarillo, TX—$252$230—$50
8Northwest Texas Healthcare System, Inc.Amarillo, TX—$252$230—$50
9Ukiah Adventist HospitalUkiah, CA$84$303$352$634$164
10Sonora Community HospitalSonora, CA$71$204$264$492$120
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