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HCPCS Q4019

PR CAST SUP LNG ARM SPLNT PED P

Reported by 12 hospitals in the network under the percent of billed charges 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 a negotiated percentage of total billed charges.

National pricing summary

Low

$4

Average

$37

Median

$22

High

$155

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$3$14$14$14—
2Northwest Iowa Hospital CorporationSioux City, IA$3$4$4$7—
3Meriter Hospital, IncMadison, WI$3$35$43$103$24
4Geisinger Wyoming ValleyWilkes-Barre, PA$1$50$47$23.2k$17
5Geisinger Medical CenterPA 17822, PA$1$46$47$65$15
6Geisinger Lewistown HospitalLewistown, PA$1$38$47$24.4k$15
7Vanderbilt Wilson County HospitalLebanon, TN$3$13$13$21$3
8Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$3$13$13$21$3
9Vanderbilt University Medical CenterNashville, TN$3$13$13$21$3
10Vanderbilt Bedford HospitalShelbyville, TN$3$13$13$21$3
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