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HCPCS K1031

Fee Schedule

Reported by 32 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

$57

Average

$396

Median

$309

High

$988

Hospitals reporting this code

#HospitalLocation
1MaineHealthPortland, ME$157$157$157$157—
2Memorial Hospital of Laramie CountyCheyenne, WY$57$57$57$57—
3Covenant Medical CenterLubbock, TX$509$509$515$531$10
4Methodist Children's HospitalLubbock, TX$509$509$515$531$10
5Methodist Hospital PlainviewPlainview, TX$487$487$491$505$8
6Methodist Hospital LevellandLevelland, TX$487$487$494$513$12
7Lubbock Heritage Hospital LLCLubbock, TX$509$509$515$531$10
8The Medical Center of Central Georgia IncMacon, GA$180$988$988$1.8k$808
9Central Georgia Rehabilitation LLCMacon, GA$180$988$988$1.8k$808
10The Medical Center of Peach County IncByron, GA$180$988$988$1.8k$808
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