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HCPCS K1001

Fee Schedule

Reported by 31 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

$40

Average

$226

Median

$87

High

$851

Hospitals reporting this code

#HospitalLocation
1MaineHealthPortland, ME$57$57$57$57—
2Covenant Medical CenterLubbock, TX$842$842$851$878$16
3Methodist Children's HospitalLubbock, TX$842$842$851$878$16
4Methodist Hospital PlainviewPlainview, TX$805$805$812$834$13
5Methodist Hospital LevellandLevelland, TX$805$805$816$849$19
6Lubbock Heritage Hospital LLCLubbock, TX$842$842$851$878$16
7The Medical Center of Central Georgia IncMacon, GA$51$280$280$509$229
8Central Georgia Rehabilitation LLCMacon, GA$51$280$280$509$229
9The Medical Center of Peach County IncByron, GA$51$280$280$509$229
10Navicent Health Baldwin IncMilledgeville, GA$51$280$280$509$229
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