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HCPCS A9270

PR NON-COVERED ITEM OR SERVICE

Reported by 53 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

$1

Average

$48

Median

$23

High

$563

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$2$2$30$79$35
2Northwest Iowa Hospital CorporationSioux City, IA$2$2$2$7—
3St Luke'sJones Regional Medical CenterAnamosa, IA$2$2$2$2—
4St Luke's Methodist HospitalCedar Rapids, IA$2$2$2$2—
5Trinity Medical CenterRock Island, IL$2$66$58$79$29
6Trinity Medical CenterBettendorf, IA$2$2$2$2—
7Unity HealthcareMuscatine, IA$2$2$30$79$35
8Trinity Regional Medical CenterFort Dodge, IA$2$2$2$2—
9Central Iowa Hospital CorporationDes Moines, IA$2$2$2$2—
10Central Iowa Hospital CorporationDes Moines, IA$2$2$2$2—
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