Outpatient Procedures: CPT Codes 90000-99999
Averages are based on all charges for the previous year.
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- Charging is based on the length of stay, amount of supplies used, therapies provided, testing given as well as other care provided
- This pricing is an average charge and not intended to be the exact charge for any particular patient
- The average charge shown is an estimate and that actual charges for the service depend on the circumstances at the time the service is provided
- Any discount is negotiated by the insurance provide. Most insurance providers should be able to tell their members what financial responsibility they will have.
- Patients without insurance are able to receive a discount to the insurance provider with the lowest negotiated discount.
Diagnosis-Related Group (DRG)
A system that classifies inpatient cases into the one of 999 groups. A single patient may have from 1 to 30 diagnosis' which can be grouped into a single DRG. The purpose of the DRG grouping is to aid in providing statistical, epidemiological and reimbursement data for a user of the data. It is mostly commonly used for reimbursement by most government and commercial payers (insurance companies). What is provided in this table indicates what is charged according to that particular DRG. It is in no way an indication of what is paid.
List of Top Outpatient Procedures: CPT Codes 90000-99999
||TTE W/DOPPLER COMPLETE
||DOPPLER ECHO EXAM HEART
||THER/PROPH/DIAG INJ SC/IM
||POLYSOM 6/>YRS CPAP 4/> PARM
||EVALUATION OF WHEEZING
||POLYSOM 6/> YRS 4/> PARAM
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