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HCPCS Z1038

POSTPARTUM FOLLOW-UP OFFICE VISIT

Reported by 8 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

$131

Median

$123

High

$423

Hospitals reporting this code

#HospitalLocation
1Sonora Community HospitalSonora, CA$10$131$141$173$19
2Reedley Community HospitalReedley, CA$38$101$105$125$11
3Adventist Health Clearlake Hospital IncClearlake, CA$29$136$165$224$42
4Lodi Memorial Hospital Association IncLodi, CA$18$409$423$522$60
5Willits Hospital IncWillits, CA$41$204$204$204—
6Sharp Chula Vista Medical CenterChula Vista, CA$1$1$1$89$0
7Grossmont Hospital CorporationLa Mesa, CA$1$1$1$64$0
8Sharp Coronado Hospital and Healthcare CenterCoronado, CA$1$4$4$73$3

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