hospital_name	last_updated_on	version	hospital_location	hospital_address	license_number|SD	"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated."																									
Madison Community Hospital	8/15/2024	2.0.0	Madison Regional Health System	"323 SW 10th Street, Madison, SD, 57042"	49870	FALSE																									
description	code|1	code|1|type	code|2	code|2|type	modifiers	setting	standard_charge|gross	standard_charge|discounted_cash	standard_charge|Avera Health Plans|Default|methodology	standard_charge|Avera Health Plans|Default|negotiated_dollar	standard_charge|Avera Health Plans|Default|negotiated_percentage	standard_charge|Avera Health Plans|Default|negotiated_algorithm	additional_payer_notes|Avera Health Plans|Default	standard_charge|Blue Cross Blue Shield of SD Wellmark|Default|methodology	standard_charge|Blue Cross Blue Shield of SD Wellmark|Default|negotiated_dollar	standard_charge|Blue Cross Blue Shield of SD Wellmark|Default|negotiated_percentage	standard_charge|Blue Cross Blue Shield of SD Wellmark|Default|negotiated_algorithm	additional_payer_notes|Blue Cross Blue Shield of SD Wellmark|Default	standard_charge|Sanford Health Plan|Default|methodology	standard_charge|Sanford Health Plan|Default|negotiated_dollar	standard_charge|Sanford Health Plan|Default|negotiated_percentage	standard_charge|Sanford Health Plan|Default|negotiated_algorithm	additional_payer_notes|Sanford Health Plan|Default	standard_charge|United Healthcare|Default|methodology	standard_charge|United Healthcare|Default|negotiated_dollar	standard_charge|United Healthcare|Default|negotiated_percentage	standard_charge|United Healthcare|Default|negotiated_algorithm	additional_payer_notes|United Healthcare|Default	standard_charge|min	standard_charge|max	additional_generic_notes
Fine Needle Aspiration w/o Image 1st Les	10021	HCPCS	983	RC		outpatient	479		Fee Schedule	464.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	459.84				Other	57.91		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		57.91	464.63	
I & D-abscess-simple or single	10060	HCPCS	983	RC		outpatient	426		Fee Schedule	413.22		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	408.96				Other	117.79		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		117.79	413.22	
I&D-abscess-complicated or multiple	10061	HCPCS	983	RC		outpatient	749		Fee Schedule	726.53		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	719.04				Other	201.17		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		201.17	726.53	
I & R-foreign body-simple	10120	HCPCS	983	RC		outpatient	477		Fee Schedule	462.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	457.92				Other	116.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		116.2	462.69	
"I & D, Hematoma, Simple"	10140	HCPCS	983	RC		outpatient	591		Fee Schedule	573.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	567.36				Other	129.07		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		129.07	573.27	
Puncture Aspiration-a/h/b/c	10160	HCPCS	983	RC		outpatient	457		Fee Schedule	443.29		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	438.72				Other	105.47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		105.47	443.29	
Punch Biopsy Skin Single Lesion	11104	HCPCS	983	RC		outpatient	917		Fee Schedule	889.49		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	880.32				Other	49.82		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		49.82	889.49	
Punch Biopsy Skin-Each Additional Lesion	11105	HCPCS	983	RC		outpatient	460		Fee Schedule	446.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	441.6				Other	27.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		27.12	446.2	
Removal of skin tags-<=15 lesions	11200	HCPCS	983	RC		outpatient	290		Fee Schedule	281.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	278.4				Other	84.57		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		84.57	281.3	
Removal of skin tags-each add 10 lesions	11201	HCPCS	983	RC		outpatient	110		Fee Schedule	106.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	105.6				Other	17.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		17.31	106.7	
Shaving of Lesion-t/a/l- <.5cm	11300	HCPCS	983	RC		outpatient	279		Fee Schedule	270.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	267.84				Other	36.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		36.27	270.63	
Shaving of Lesion-t/a/l- .6 to 1.0 cm	11301	HCPCS	983	RC		outpatient	319		Fee Schedule	309.43		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	306.24				Other	54.7		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		54.7	309.43	
Shaving of Lesion-t/a/l-1.1 to 2.0 cm	11302	HCPCS	983	RC		outpatient	389		Fee Schedule	377.33		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	373.44				Other	63.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		63.86	377.33	
Shaving of Lesion-t/a/l- > 2.0 cm	11303	HCPCS	983	RC		outpatient	436		Fee Schedule	422.92		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	418.56				Other	75.91		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		75.91	422.92	
Shave of lesion-s/n/h/f/g/-<.5 cm	11305	HCPCS	983	RC		outpatient	279		Fee Schedule	270.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	267.84				Other	40.02		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		40.02	270.63	
Shave of lesion-s/n/h/f/g-.6 to 1.0 cm	11306	HCPCS	983	RC		outpatient	436		Fee Schedule	422.92		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	418.56				Other	52.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		52.31	422.92	
Shave of lesion-s/n/h/f/g-1.1 to 2.0 cm	11307	HCPCS	983	RC		outpatient	413		Fee Schedule	400.61		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	396.48				Other	66.62		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		66.62	400.61	
Shaving Skin Lesion 1 s/n/h/f/g >2.0 cm	11308	HCPCS	983	RC		outpatient	370		Fee Schedule	358.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	355.2				Other	74.64		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		74.64	358.9	
Shave of lesion-f/e/e/n/l/m-<.5cm	11310	HCPCS	983	RC		outpatient	378		Fee Schedule	366.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	362.88				Other	48.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		48.56	366.66	
Shave of lesion-f/e/e/n/l/m-0.6 to 1.0cm	11311	HCPCS	983	RC		outpatient	402		Fee Schedule	389.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	385.92				Other	67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		67	389.94	
Shave of lesion-f/e/e/n/l/m-1.1 to 2.0cm	11312	HCPCS	983	RC		outpatient	403		Fee Schedule	390.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	386.88				Other	79.28		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		79.28	390.91	
Shave of lesion-f/e/e/n/l/m->2.0cm	11313	HCPCS	983	RC		outpatient	506		Fee Schedule	490.82		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	485.76				Other	102.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		102.51	490.82	
Exc beni lesion-t/a/l-<0.5cm	11400	HCPCS	983	RC		outpatient	409		Fee Schedule	396.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	392.64				Other	92.87		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		92.87	396.73	
Exc beni lesion-t/a/l-0.6 to 1.1cm	11401	HCPCS	983	RC		outpatient	473		Fee Schedule	458.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	454.08				Other	115.97		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		115.97	458.81	
Exc beni lesion-t/a/l-1.1 to 2.0cm	11402	HCPCS	983	RC		outpatient	524		Fee Schedule	508.28		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	503.04				Other	126.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		126.52	508.28	
Exc beni lesion-t/a/l-2.1 to 3.0cm	11403	HCPCS	983	RC		outpatient	656		Fee Schedule	636.32		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	629.76				Other	163.32		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		163.32	636.32	
Exc beni lesion-t/a/l-3.1 to 4.0	11404	HCPCS	983	RC		outpatient	1040		Fee Schedule	1008.8		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	998.4				Other	178.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		178.34	1008.8	
Exc beni lesion-t/a/l->4.0cm	11406	HCPCS	983	RC		outpatient	1152		Fee Schedule	1117.44		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1105.92				Other	265.69		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		265.69	1117.44	
Exc beni lesion-s/n/h/f/g-<=0.5cm	11420	HCPCS	983	RC		outpatient	355		Fee Schedule	344.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	340.8				Other	90.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		90.73	344.35	
Exc beni lesion-s/n/h/f/g-.6 to 1.0 cm	11421	HCPCS	983	RC		outpatient	498		Fee Schedule	483.06		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	478.08				Other	119.48		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		119.48	483.06	
Exc beni lesion-s/n/h/f/g-1.1 to 2.0cm	11422	HCPCS	983	RC		outpatient	582		Fee Schedule	564.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	558.72				Other	148.94		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		148.94	564.54	
Exc beni lesion-s/n/h/f/g-2.1 to 3.0cm	11423	HCPCS	983	RC		outpatient	725		Fee Schedule	703.25		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	696				Other	171.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		171.56	703.25	
"Exc Benign Les, s/n/h/f/g, 3.1 to 4.0cm"	11424	HCPCS	983	RC		outpatient	903		Fee Schedule	875.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	866.88				Other	196.25		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		196.25	875.91	
"Exc Benign Les, s/n/h/f/g, >0.4cm"	11426	HCPCS	983	RC		outpatient	1317		Fee Schedule	1277.49		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1264.32				Other	287.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		287.77	1277.49	
Exc beni lesion-f/e/e/n/l-<=.5cm	11440	HCPCS	983	RC		outpatient	448		Fee Schedule	434.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	430.08				Other	119		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		119	434.56	
Exc beni lesion-f/e/e/n/l-.6 to 1.0 cm	11441	HCPCS	983	RC		outpatient	574		Fee Schedule	556.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	551.04				Other	146.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		146.54	556.78	
Exc beni lesion-f/e/e/n/l-1.1 to 2.0 cm	11442	HCPCS	983	RC		outpatient	628		Fee Schedule	609.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	602.88				Other	161		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		161	609.16	
Exc beni lesion-f/e/e/n/l-2.1 to 3.0 cm	11443	HCPCS	983	RC		outpatient	882		Fee Schedule	855.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	846.72				Other	195.17		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		195.17	855.54	
Exc malig lesion-t/a/l->4.0cm	11606	HCPCS	983	RC		outpatient	1544		Fee Schedule	1497.68		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1482.24				Other	334.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		334.72	1497.68	
Exc malig lesion-f/e/e/n/l-1.1 to 2.0cm	11642	HCPCS	983	RC		outpatient	1047		Fee Schedule	1015.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1005.12				Other	196.57		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		196.57	1015.59	
"Exc Malig Les, f/e/e/n/l, 2.1 to 3.0cm"	11643	HCPCS	983	RC		outpatient	1407		Fee Schedule	1364.79		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1350.72				Other	244.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		244.06	1364.79	
"Avulsion of Nail Plate, Simple, Single"	11730	HCPCS	983	RC		outpatient	330		Fee Schedule	320.1		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	316.8				Other	57.94		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		57.94	320.1	
Avulsion Nail Plate Part/Comp Each Addtn	11732	HCPCS	983	RC		outpatient	163		Fee Schedule	158.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	156.48				Other	18.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		18.06	158.11	
Evacuation of Subungual Hematoma	11740	HCPCS	983	RC		outpatient	195		Fee Schedule	189.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	187.2				Other	35.69		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		35.69	189.15	
Exc wedge of skin of nail fold	11765	HCPCS	983	RC		outpatient	600		Fee Schedule	582		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	576				Other	102.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		102.72	582	
Insertion Drug Delivery Implant	11981	HCPCS	983	RC		outpatient	494		Fee Schedule	479.18		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	474.24				Other	65.29		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		65.29	479.18	
Removal Drug Delivery Implant	11982	HCPCS	983	RC		outpatient	573		Fee Schedule	555.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	550.08				Other	76.21		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		76.21	555.81	
Removal & Reinsertion Drug Delivery Impl	11983	HCPCS	983	RC		outpatient	691		Fee Schedule	670.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	663.36				Other	107.66		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		107.66	670.27	
Simple repair-s/n/a/g/t/e-<=2.5cm	12001	HCPCS	983	RC		outpatient	393		Fee Schedule	381.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	377.28				Other	46.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		46.56	381.21	
Simple repair-s/n/a/g/t/e-2.6 to 7.5cm	12002	HCPCS	983	RC		outpatient	477		Fee Schedule	462.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	457.92				Other	60.93		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		60.93	462.69	
Simple repair-s/n/a/g/t/e-7.6 to 12.5cm	12004	HCPCS	983	RC		outpatient	603		Fee Schedule	584.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	578.88				Other	75.81		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		75.81	584.91	
Simple repair-s/n/a/g/t/e-12.6 to 20.0cm	12005	HCPCS	983	RC		outpatient	1054		Fee Schedule	1022.38		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1011.84				Other	96.89		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		96.89	1022.38	
Simple repair-f/e/e/n/l/m-<=2.5cm	12011	HCPCS	983	RC		outpatient	477		Fee Schedule	462.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	457.92				Other	57.41		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		57.41	462.69	
Simple repair-f/e/e/n/l/m-2.6 to 5.0cm	12013	HCPCS	983	RC		outpatient	561		Fee Schedule	544.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	538.56				Other	59.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		59.34	544.17	
Simple repair-f/e/e/n/l/m-5.1 to 7.5cm	12014	HCPCS	983	RC		outpatient	941		Fee Schedule	912.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	903.36				Other	76.62		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		76.62	912.77	
Intermed repair-s/a/t/e-<=2.5cm	12031	HCPCS	983	RC		outpatient	788		Fee Schedule	764.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	756.48				Other	164.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		164.52	764.36	
Intermed repair-s/a/t/e-2.6 to 7.5cm	12032	HCPCS	983	RC		outpatient	1018		Fee Schedule	987.46		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	977.28				Other	207.11		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		207.11	987.46	
Intermed repair-f/e/e/n/l-<=2.5cm	12051	HCPCS	983	RC		outpatient	869		Fee Schedule	842.93		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	834.24				Other	183.39		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		183.39	842.93	
"Complex Repair, f/n/a/g/e, 1.1 to 2.5cm"	13131	HCPCS	983	RC		outpatient	1476		Fee Schedule	1431.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1416.96				Other	259.82		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		259.82	1431.72	
Complex repair-f/n/a/g/h/f-2.6 to 7.5cm	13132	HCPCS	983	RC		outpatient	1937		Fee Schedule	1878.89		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1859.52				Other	324.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		324.88	1878.89	
Destruct of lesion-1st lesion	17000	HCPCS	983	RC		outpatient	272		Fee Schedule	263.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	261.12				Other	60.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		60.88	263.84	
Destruct of lesion-2-14 lesions-each	17003	HCPCS	983	RC		outpatient	51		Fee Schedule	49.47		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	48.96				Other	2.25		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		2.25	49.47	
Destruct-benign lesion-<14 lesions	17110	HCPCS	983	RC		outpatient	371		Fee Schedule	359.87		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	356.16				Other	76.04		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		76.04	359.87	
Chemical Cauterization Granulation Tissu	17250	HCPCS	983	RC		outpatient	285		Fee Schedule	276.45		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	273.6				Other	40.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		40.54	276.45	
Injection-single tendon sheath	20550	HCPCS	983	RC		inpatient	261		Fee Schedule	253.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	250.56				Other	41.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		41.2	253.17	
Trigger Point 1 or 2 Muscles	20552	HCPCS	983	RC		outpatient	261		Fee Schedule	253.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	250.56				Other	39.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		39.42	253.17	
Office aspiration/injection-small joint	20600	HCPCS	983	RC		outpatient	261		Fee Schedule	253.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	250.56				Other	38.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		38.06	253.17	
Office aspiration/injection-interm joint	20605	HCPCS	983	RC		outpatient	261		Fee Schedule	253.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	250.56				Other	39.17		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		39.17	253.17	
Office aspiration/injection-major joint	20610	HCPCS	983	RC		outpatient	295		Fee Schedule	286.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	283.2				Other	48.01		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		48.01	286.15	
Aspiration/Inj of Ganglion Cyst	20612	HCPCS	983	RC		outpatient	237		Fee Schedule	229.89		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	227.52				Other	43.83		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		43.83	229.89	
Closed Trtmt Shoulder Dislocation; w/o	23650	HCPCS	983	RC		outpatient	1204		Fee Schedule	1167.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1155.84				Other	335.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		335.72	1167.88	
Trmt-shoulder-w/manip-w/anes	23655	HCPCS	983	RC		outpatient	1608		Fee Schedule	1559.76		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1543.68				Other	450.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		450.2	1559.76	
Trmt-closed elbow disloc-w/anes	24605	HCPCS	983	RC		outpatient	1921		Fee Schedule	1863.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1844.16				Other	526.07		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		526.07	1863.37	
Closed Trmt Radial/Ulnar Shaft w/Manip	25565	HCPCS	983	RC		outpatient	2153		Fee Schedule	2088.41		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2066.88				Other	512.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		512.54	2088.41	
Clsd Trtmt of Distal Rad. Frac; w Manip	25605	HCPCS	983	RC		outpatient	2188		Fee Schedule	2122.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2100.48				Other	563.81		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		563.81	2122.36	
Closed Trmt Metacarpophalangeal Single	26700	HCPCS	983	RC		outpatient	1834		Fee Schedule	1778.98		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1760.64				Other	350.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		350.03	1778.98	
Clsd Trtmt of Phalangeal Shaft; w/ Man.	26725	HCPCS	983	RC		outpatient	2307		Fee Schedule	2237.79		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2214.72				Other	341.53		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		341.53	2237.79	
Closed Trtmnt of Interphalangeal Joint	26770	HCPCS	983	RC		outpatient	976		Fee Schedule	946.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	936.96				Other	295.13		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		295.13	946.72	
Trmt-Closed Hip Arthrop Disloc-w/Anes	27266	HCPCS	983	RC		outpatient	2620		Fee Schedule	2541.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2515.2				Other	630.53		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		630.53	2541.4	
Closed Trmtnt Patellar Fx w/o Manipulati	27520	HCPCS	983	RC		outpatient	1217		Fee Schedule	1180.49		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1168.32				Other	339.48		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		339.48	1180.49	
Clsd Trtmnt Patellar Dislocation; w/Anes	27562	HCPCS	983	RC		outpatient	2200		Fee Schedule	2134		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2112				Other	537.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		537.96	2134	
Closed Trmt of Distal Fibular Fx w/man	27788	HCPCS	983	RC		outpatient	1804		Fee Schedule	1749.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1731.84				Other	427.21		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		427.21	1749.88	
Closed Trtmt FX Phalanx/Phalanges w/Mani	28515	HCPCS	983	RC		outpatient	566		Fee Schedule	549.02		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	543.36				Other	162.99		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		162.99	549.02	
Application-Cast-Long Arm	29065	HCPCS	983	RC		outpatient	397		Fee Schedule	385.09		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	381.12				Other	73.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		73.34	385.09	
Application-Cast-Short arm	29075	HCPCS	983	RC		outpatient	348		Fee Schedule	337.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	334.08				Other	67.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		67.42	337.56	
Application-Splint-Long Arm	29105	HCPCS	983	RC		outpatient	438		Fee Schedule	424.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	420.48				Other	43.19		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		43.19	424.86	
Application-Splint-Short Arm	29125	HCPCS	983	RC		outpatient	251		Fee Schedule	243.47		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	240.96				Other	43.68		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		43.68	243.47	
Application-Splint-Finger	29130	HCPCS	983	RC		outpatient	154		Fee Schedule	149.38		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	147.84				Other	30.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		30.56	149.38	
Application-Splint-Long Leg	29505	HCPCS	983	RC		outpatient	302		Fee Schedule	292.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	289.92				Other	56.5		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		56.5	292.94	
Application-Splint-Short Leg	29515	HCPCS	983	RC		outpatient	350		Fee Schedule	339.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	336				Other	53.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		53.72	339.5	
Excision Nasal Polyp Simple	30110	HCPCS	983	RC		outpatient	650		Fee Schedule	630.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	624				Other	145.62		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		145.62	630.5	
Control Nasal Hemorrhage-Simple	30901	HCPCS	983	RC		outpatient	469		Fee Schedule	454.93		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	450.24				Other	59		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		59	454.93	
Control nasal hemorrhage-Complex	30903	HCPCS	983	RC		outpatient	546		Fee Schedule	529.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	524.16				Other	80.25		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		80.25	529.62	
Intubation	31500	HCPCS	981	RC		outpatient	828		Fee Schedule	803.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	794.88				Other	146.46		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		146.46	803.16	
Insertion Indwelling Catheter Tunneled	32550	HCPCS	983	RC		outpatient	1978		Fee Schedule	1918.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1898.88				Other	212.57		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		212.57	1918.66	
"Tube Thoracostomy with water seal, open"	32551	HCPCS	983	RC		outpatient	944		Fee Schedule	915.68		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	906.24				Other	159.91		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		159.91	915.68	
Tube Thoracostomy w/seal Provider Assist	32551	HCPCS	983	RC	80	outpatient	242		Fee Schedule	234.74		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	232.32				Other	25.59		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		25.59	234.74	
"Thoracentesis, needle or cath, w/o imagi"	32554	HCPCS	983	RC		outpatient	1758		Fee Schedule	1705.26		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1687.68				Other	93.04		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		93.04	1705.26	
Pleural Drainage Percutaneous w/Ins Cath	32556	HCPCS	983	RC		outpatient	1516		Fee Schedule	1470.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1455.36				Other	128.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		128.72	1470.52	
Repair Lip Full Thickness	40652	HCPCS	983	RC		outpatient	2123		Fee Schedule	2059.31		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2038.08				Other	393.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		393.31	2059.31	
Incision Lingual Frenum Frenotomy	41010	HCPCS	983	RC		outpatient	648		Fee Schedule	628.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	622.08				Other	121.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		121.22	628.56	
Repair Laceration <2.5cm Posterior Tongu	41251	HCPCS	983	RC		outpatient	1076		Fee Schedule	1043.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1032.96				Other	196.47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		196.47	1043.72	
"Upper GI Endoscopy, Diagnostic"	43235	HCPCS	975	RC		outpatient	1066		Fee Schedule	1034.02		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1023.36				Other	130.14		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		130.14	1034.02	
Upper GI Endoscopy w/Biopsy	43239	HCPCS	975	RC		outpatient	1212		Fee Schedule	1175.64		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1163.52				Other	146.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		146.86	1175.64	
Naso- or Oro-Gastric Tube Placement w/Fl	43752	HCPCS	983	RC		outpatient	280		Fee Schedule	271.6		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	268.8				Other	41.94		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		41.94	271.6	
Replacement of Gastronomy Tube	43762	HCPCS	983	RC		outpatient	1266		Fee Schedule	1228.02		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1215.36				Other	38.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		38.4	1228.02	
"C-Scope, Flexible, w/ or w/o Biopsy"	45378	HCPCS	975	RC		outpatient	1424		Fee Schedule	1381.28		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1367.04				Other	194.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		194.73	1381.28	
"C-Scope, Flexible, w/Biopsy"	45380	HCPCS	975	RC		outpatient	1724		Fee Schedule	1672.28		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1655.04				Other	211.89		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		211.89	1672.28	
"C-Scope, Flexible, w/Snare Removal"	45385	HCPCS	975	RC		outpatient	2089		Fee Schedule	2026.33		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2005.44				Other	268		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		268	2026.33	
Incision of Thrombosed Hemorrhoid; Exter	46083	HCPCS	983	RC		outpatient	557		Fee Schedule	540.29		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	534.72				Other	118.66		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		118.66	540.29	
"Hemorrhoidectomy, Rubber Band Ligation"	46221	HCPCS	983	RC		outpatient	850		Fee Schedule	824.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	816				Other	209.48		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		209.48	824.5	
Hemorrhoidectomy External 2+ Groups	46250	HCPCS	983	RC		outpatient	1427		Fee Schedule	1384.19		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1369.92				Other	342.26		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		342.26	1384.19	
Excision Thrombosed Hemorrhoid External	46320	HCPCS	983	RC		outpatient	637		Fee Schedule	617.89		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	611.52				Other	121.95		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		121.95	617.89	
"Diagnostic Anoscopy, w/ or w/out specime"	46600	HCPCS	983	RC		outpatient	290		Fee Schedule	281.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	278.4				Other	44.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		44.43	281.3	
Obstructive Material Removal from GI Tub	49460	HCPCS	983	RC		outpatient	1422		Fee Schedule	1379.34		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1365.12				Other	52.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		52.88	1379.34	
OB Room	112	RC				inpatient	3915		Percent of Total Billed Charges	3797.55				Percent of Total Billed Charges	3758.4				Per Diem	2307		Reimbursement subject to Medicare Sequestration.		Case Rate			Reimbursement is calculated by multiplying the relative weight associated with the DRG by the facility specific base rate. Reimbursement is subject to outlier or transfer adjustments when applicable.		2307	3797.55	
Medical/Surgical Room	111	RC				inpatient	2672		Percent of Total Billed Charges	2591.84				Percent of Total Billed Charges	2565.12				Per Diem	2307		Reimbursement subject to Medicare Sequestration.		Case Rate			Reimbursement is calculated by multiplying the relative weight associated with the DRG by the facility specific base rate. Reimbursement is subject to outlier or transfer adjustments when applicable.		2307	2591.84	
Skilled Nursing Room	111	RC				inpatient	914		Percent of Total Billed Charges	886.58				Percent of Total Billed Charges	877.44				Per Diem	2307		Reimbursement subject to Medicare Sequestration.		Case Rate			Reimbursement is calculated by multiplying the relative weight associated with the DRG by the facility specific base rate. Reimbursement is subject to outlier or transfer adjustments when applicable.		877.44	2307	
Intermediate Care Room	111	RC				inpatient	400		Percent of Total Billed Charges	388				Percent of Total Billed Charges	384				Per Diem	2307		Reimbursement subject to Medicare Sequestration.		Case Rate			Reimbursement is calculated by multiplying the relative weight associated with the DRG by the facility specific base rate. Reimbursement is subject to outlier or transfer adjustments when applicable.		384	2307	
Medical/Surgical w/Additional Services	111	RC				inpatient	3915		Percent of Total Billed Charges	3797.55				Percent of Total Billed Charges	3758.4				Per Diem	2307		Reimbursement subject to Medicare Sequestration.		Case Rate			Reimbursement is calculated by multiplying the relative weight associated with the DRG by the facility specific base rate. Reimbursement is subject to outlier or transfer adjustments when applicable.		2307	3797.55	
Intensive/Coronary Care Room Moderate	202	RC				inpatient	5432		Percent of Total Billed Charges	5269.04				Percent of Total Billed Charges	5214.72				Per Diem	2307		Reimbursement subject to Medicare Sequestration.		Case Rate			Reimbursement is calculated by multiplying the relative weight associated with the DRG by the facility specific base rate. Reimbursement is subject to outlier or transfer adjustments when applicable.		2307	5269.04	
Intensive/Coronary Care Room Critical	202	RC				inpatient	6237		Percent of Total Billed Charges	6049.89				Percent of Total Billed Charges	5987.52				Per Diem	2307		Reimbursement subject to Medicare Sequestration.		Case Rate			Reimbursement is calculated by multiplying the relative weight associated with the DRG by the facility specific base rate. Reimbursement is subject to outlier or transfer adjustments when applicable.		2307	6049.89	
"Esophagoscopy, with Removal of FB"	43215	HCPCS	360	RC		both	2030		Fee Schedule	1969.1		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1948.8				Other	875.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1380.4		Some services are zero paid.		875.34	1969.1	
"EGD, Diagnostic"	43235	HCPCS	360	RC		both	2322		Fee Schedule	2252.34		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2229.12				Other	1001.25		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1578.96		Some services are zero paid.		1001.25	2252.34	
"EGD, with Biopsy, single or multiple"	43239	HCPCS	360	RC		both	2508		Fee Schedule	2432.76		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2407.68				Other	1081.45		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1705.44		Some services are zero paid.		1081.45	2432.76	
"EGD, with Placement of G-Tube"	43246	HCPCS	360	RC		both	3415		Fee Schedule	3312.55		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3278.4				Other	1472.55		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2322.2		Some services are zero paid.		1472.55	3312.55	
"EGD, with Balloon Dilation of Esophagus"	43249	HCPCS	360	RC		both	4435		Fee Schedule	4301.95		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4257.6				Other	1912.37		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3015.8		Some services are zero paid.		1912.37	4301.95	
Appendectomy	44950	HCPCS	360	RC		both	7244		Fee Schedule	7026.68		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6954.24				Other	3123.61		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4925.92		Some services are zero paid.		3123.61	7026.68	
Laproscopic Appendectomy	44970	HCPCS	360	RC		both	11954		Fee Schedule	11595.38		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	11475.84				Other	5154.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	8128.72		Some services are zero paid.		5154.56	11595.38	
"Sigmoidoscopy, Flexible w/ Biopsy"	45331	HCPCS	360	RC		both	2101		Fee Schedule	2037.97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2016.96				Other	905.95		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1428.68		Some services are zero paid.		905.95	2037.97	
"C-Scope, Flexible, w or wo biopsy"	45378	HCPCS	360	RC		both	3141		Fee Schedule	3046.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3015.36				Other	1354.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2135.88		Some services are zero paid.		1354.4	3046.77	
"C-Scope, Flexible, w Biopsy"	45380	HCPCS	360	RC		both	3141		Fee Schedule	3046.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3015.36				Other	1354.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2135.88		Some services are zero paid.		1354.4	3046.77	
"C-Scope, Flexible w Removal of Polyp(s)"	45385	HCPCS	360	RC		both	3141		Fee Schedule	3046.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3015.36				Other	1354.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2135.88		Some services are zero paid.		1354.4	3046.77	
Laproscopic Cholecystectomy	47562	HCPCS	360	RC		both	13584		Fee Schedule	13176.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	13040.64				Other	5857.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	9237.12		Some services are zero paid.		5857.42	13176.48	
Laproscopic Chole. w Cholangiogram	47563	HCPCS	360	RC		both	13584		Fee Schedule	13176.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	13040.64				Other	5857.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	9237.12		Some services are zero paid.		5857.42	13176.48	
Cholecystectomy	47600	HCPCS	360	RC		both	7809		Fee Schedule	7574.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7496.64				Other	3367.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5310.12		Some services are zero paid.		3367.24	7574.73	
"Inguinal Hernia, Initial, Red. <5 yrs"	49500	HCPCS	360	RC		both	7313		Fee Schedule	7093.61		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7020.48				Other	3153.37		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4972.84		Some services are zero paid.		3153.37	7093.61	
"Inguinal Hernia, Initial, > 5 yrs"	49505	HCPCS	360	RC		both	8027		Fee Schedule	7786.19		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7705.92				Other	3461.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5458.36		Some services are zero paid.		3461.24	7786.19	
"Inguinal Hernia, Initial, > 5 yrs, Incar"	49507	HCPCS	360	RC		both	7733		Fee Schedule	7501.01		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7423.68				Other	3334.47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5258.44		Some services are zero paid.		3334.47	7501.01	
"Inguinal Hernia, Recurrent, Reducible"	49520	HCPCS	360	RC		both	7828		Fee Schedule	7593.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7514.88				Other	3375.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5323.04		Some services are zero paid.		3375.43	7593.16	
Cesarean Delivery Only	59514	HCPCS	360	RC		both	9861		Fee Schedule	9565.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	9466.56				Other	4252.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	6705.48		Some services are zero paid.		4252.06	9565.17	
Anesthesia for Pneumocentesis	524	HCPCS	230	RC		inpatient	607		Fee Schedule	588.79		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	582.72				Other	261.74		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	412.76		Some services are zero paid.		261.74	588.79	
"Injection Platelet Rich Plasma, Any Site"	0232T	HCPCS	360	RC		both	1075		Fee Schedule	1042.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1032				Other	463.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	731		Some services are zero paid.		463.54	1042.75	
Recovery Room Time Per Hour	710	RC				both	251		Fee Schedule	243.47		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	240.96				Other	108.23		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	170.68		Some services are zero paid.		108.23	243.47	
PACU Recovery Time Per Hour	710	RC				both	409		Fee Schedule	396.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	392.64				Other	176.36		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	278.12		Some services are zero paid.		176.36	396.73	
Fine Needle Aspiration w/o Image 1st Les	10021	HCPCS	360	RC		both	973		Fee Schedule	943.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	934.08				Other	419.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	661.64		Some services are zero paid.		419.56	943.81	
Image-Guided Catheter Fluid Drainage	10030	HCPCS	360	RC		both	1358		Fee Schedule	1317.26		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1303.68				Other	585.57		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	923.44		Some services are zero paid.		585.57	1317.26	
I & D Abscess; simple	10060	HCPCS	360	RC		both	1003		Fee Schedule	972.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	962.88				Other	432.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	682.04		Some services are zero paid.		432.49	972.91	
I&D-abscess-complicated or multiple	10061	HCPCS	360	RC		both	1075		Fee Schedule	1042.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1032				Other	463.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	731		Some services are zero paid.		463.54	1042.75	
"Debridement, Subcut, 1st 20 sq cm"	11042	HCPCS	360	RC		both	3518		Fee Schedule	3412.46		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3377.28				Other	1516.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2392.24		Some services are zero paid.		1516.96	3412.46	
Debridement; First 20 sq cm or less	11043	HCPCS	360	RC		both	3518		Fee Schedule	3412.46		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3377.28				Other	1516.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2392.24		Some services are zero paid.		1516.96	3412.46	
Punch Biopsy Skin Lesion Single	11104	HCPCS	360	RC		both	884		Fee Schedule	857.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	848.64				Other	381.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	601.12		Some services are zero paid.		381.18	857.48	
Removal of Skin Tags <15 Lesions	11200	HCPCS	360	RC		both	1053		Fee Schedule	1021.41		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1010.88				Other	454.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	716.04		Some services are zero paid.		454.05	1021.41	
"Excision, Benign lesion, 1.1 to 2.0 cm"	11402	HCPCS	360	RC		both	1401		Fee Schedule	1358.97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1344.96				Other	604.11		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	952.68		Some services are zero paid.		604.11	1358.97	
"Excision, Benign lesion, 2.1 to 3.0 cm"	11403	HCPCS	360	RC		both	1800		Fee Schedule	1746		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1728				Other	776.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1224		Some services are zero paid.		776.16	1746	
"Excision; benign, 3.1 to 4 cm"	11404	HCPCS	360	RC		both	3446		Fee Schedule	3342.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3308.16				Other	1485.92		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2343.28		Some services are zero paid.		1485.92	3342.62	
"Excision, Benign, >4.0 cm"	11406	HCPCS	360	RC		both	3768		Fee Schedule	3654.96		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3617.28				Other	1624.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2562.24		Some services are zero paid.		1624.76	3654.96	
Exc beni lesion-s/n/h/f/g->0.4cm	11426	HCPCS	360	RC		both	5835		Fee Schedule	5659.95		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5601.6				Other	2516.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3967.8		Some services are zero paid.		2516.05	5659.95	
Exc beni lesion-f/e/e/n/l-2.1 to 3.0 cm	11446	HCPCS	360	RC		both	6185		Fee Schedule	5999.45		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5937.6				Other	2666.97		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4205.8		Some services are zero paid.		2666.97	5999.45	
"Exc Malig Les, t/a/l, 1.1 to 2.0cm"	11602	HCPCS	360	RC		both	884		Fee Schedule	857.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	848.64				Other	381.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	601.12		Some services are zero paid.		381.18	857.48	
"Avulsion of Nail Plate, Simple, Single"	11730	HCPCS	360	RC		both	884		Fee Schedule	857.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	848.64				Other	381.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	601.12		Some services are zero paid.		381.18	857.48	
Exc of nail/matrix-partial or complete	11750	HCPCS	360	RC		both	1302		Fee Schedule	1262.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1249.92				Other	561.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	885.36		Some services are zero paid.		561.42	1262.94	
Excision of Pilonidal Cyst or Sinus	11770	HCPCS	360	RC		both	5007		Fee Schedule	4856.79		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4806.72				Other	2159.02		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3404.76		Some services are zero paid.		2159.02	4856.79	
Removal Drug Delivery Implant	11982	HCPCS	360	RC		both	1053		Fee Schedule	1021.41		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1010.88				Other	454.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	716.04		Some services are zero paid.		454.05	1021.41	
Simple repair-s/n/a/g/t/e-<=2.5cm	12001	HCPCS	360	RC		both	973		Fee Schedule	943.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	934.08				Other	419.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	661.64		Some services are zero paid.		419.56	943.81	
Simple repair-s/n/a/g/t/e-7.6 to 12.5cm	12004	HCPCS	360	RC		both	973		Fee Schedule	943.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	934.08				Other	419.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	661.64		Some services are zero paid.		419.56	943.81	
Intermed repair-n/h/f/g/-2.6 to 7.5cm	12042	HCPCS	360	RC		both	1401		Fee Schedule	1358.97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1344.96				Other	604.11		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	952.68		Some services are zero paid.		604.11	1358.97	
"Repair, Complex, Trunk, 2.6 cm to 7.5 cm"	13101	HCPCS	360	RC		both	1276		Fee Schedule	1237.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1224.96				Other	550.21		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	867.68		Some services are zero paid.		550.21	1237.72	
"Repair, Complex, Trunk, Each Additio 5cm"	13102	HCPCS	360	RC		both	1003		Fee Schedule	972.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	962.88				Other	432.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	682.04		Some services are zero paid.		432.49	972.91	
"Repair, Complex s/a/l 2.6-7.5cm"	13121	HCPCS	360	RC		both	1003		Fee Schedule	972.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	962.88				Other	432.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	682.04		Some services are zero paid.		432.49	972.91	
Repair-Complex Each Add 5 cm	13122	HCPCS	360	RC		both	1003		Fee Schedule	972.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	962.88				Other	432.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	682.04		Some services are zero paid.		432.49	972.91	
Secondary Closure of Surgical Wound Comp	13160	HCPCS	360	RC		both	4461		Fee Schedule	4327.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4282.56				Other	1923.58		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3033.48		Some services are zero paid.		1923.58	4327.17	
Adjacent Tissue Transf f/c/c/m/n/a/g/h/f	14040	HCPCS	360	RC		both	4596		Fee Schedule	4458.12		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4412.16				Other	1981.8		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3125.28		Some services are zero paid.		1981.8	4458.12	
Surg Prep of Skin; First 100 sq cm	15002	HCPCS	360	RC		both	1003		Fee Schedule	972.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	962.88				Other	432.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	682.04		Some services are zero paid.		432.49	972.91	
Surg Prep of Skin; Each Adtl 100 sq cm	15003	HCPCS	360	RC		both	520		Fee Schedule	504.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	499.2				Other	224.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	353.6		Some services are zero paid.		224.22	504.4	
Application Skin Graft T/A/L <25sqcm	15271	HCPCS	360	RC		both	4412		Fee Schedule	4279.64		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4235.52				Other	1902.45		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3000.16		Some services are zero paid.		1902.45	4279.64	
App Skin Graft t/a/l Each Addt 25sq cm	15272	HCPCS	360	RC		both	1664		Fee Schedule	1614.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1597.44				Other	717.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1131.52		Some services are zero paid.		717.52	1614.08	
Application of Skin Graft T/A/L >100sqcm	15273	HCPCS	360	RC		both	7551		Fee Schedule	7324.47		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7248.96				Other	3255.99		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5134.68		Some services are zero paid.		3255.99	7324.47	
Skin Graft T/A/L Each Addt 100sqcm	15274	HCPCS	360	RC		both	4004		Fee Schedule	3883.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3843.84				Other	1726.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2722.72		Some services are zero paid.		1726.52	3883.88	
App Skin Graft f/s/e/m/n/e first 25sq cm	15275	HCPCS	360	RC		both	4041		Fee Schedule	3919.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3879.36				Other	1742.48		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2747.88		Some services are zero paid.		1742.48	3919.77	
Destruct of lesion-1st lesion	17000	HCPCS	360	RC		both	884		Fee Schedule	857.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	848.64				Other	381.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	601.12		Some services are zero paid.		381.18	857.48	
Destruct of lesion-2-14 lesions-each	17003	HCPCS	360	RC		both	416		Fee Schedule	403.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	399.36				Other	179.38		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	282.88		Some services are zero paid.		179.38	403.52	
"Biopsy of Breast, Needle Core, w/o image"	19100	HCPCS	360	RC		both	3328		Fee Schedule	3228.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3194.88				Other	1435.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2263.04		Some services are zero paid.		1435.03	3228.16	
"Mastectomy, Partial"	19301	HCPCS	360	RC		both	7031		Fee Schedule	6820.07		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6749.76				Other	3031.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4781.08		Some services are zero paid.		3031.77	6820.07	
Bone Biopsy Open Superficial	20240	HCPCS	360	RC		both	4110		Fee Schedule	3986.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3945.6				Other	1772.23		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2794.8		Some services are zero paid.		1772.23	3986.7	
Injection-single tendon sheath	20550	HCPCS	360	RC		both	1024		Fee Schedule	993.28		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	983.04				Other	441.55		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	696.32		Some services are zero paid.		441.55	993.28	
"Removal of Implant, Deep"	20680	HCPCS	360	RC		both	6312		Fee Schedule	6122.64		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6059.52				Other	2721.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4292.16		Some services are zero paid.		2721.73	6122.64	
Excision Soft Tissue Tumor F/S Subq <2cm	21011	HCPCS	360	RC		both	3619		Fee Schedule	3510.43		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3474.24				Other	1560.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2460.92		Some services are zero paid.		1560.51	3510.43	
Open Trmt Nasal & Septum Fracture	21335	HCPCS	360	RC		both	5835		Fee Schedule	5659.95		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5601.6				Other	2516.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3967.8		Some services are zero paid.		2516.05	5659.95	
Excision Tumor Neck/Thorax <3cm	21555	HCPCS	360	RC		both	3902		Fee Schedule	3784.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3745.92				Other	1682.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2653.36		Some services are zero paid.		1682.54	3784.94	
Excision Tumor Soft Tissue B/F SQ >3cm	21931	HCPCS	360	RC		both	3432		Fee Schedule	3329.04		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3294.72				Other	1479.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2333.76		Some services are zero paid.		1479.88	3329.04	
Percutaneous Vertebral Augmentation Lumb	22514	HCPCS	360	RC		both	19969		Fee Schedule	19369.93		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	19170.24				Other	8610.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	13578.92		Some services are zero paid.		8610.63	19369.93	
"Excision, Tumor <3 cm"	22902	HCPCS	360	RC		both	3691		Fee Schedule	3580.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3543.36				Other	1591.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2509.88		Some services are zero paid.		1591.56	3580.27	
Removal of Elbow Bursa	24105	HCPCS	360	RC		both	7031		Fee Schedule	6820.07		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6749.76				Other	3031.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4781.08		Some services are zero paid.		3031.77	6820.07	
Excision Tumor Tissue Forearm/Wrist <3cm	25076	HCPCS	360	RC		both	3643		Fee Schedule	3533.71		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3497.28				Other	1570.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2477.24		Some services are zero paid.		1570.86	3533.71	
"Excision of Ganglion, Wrist, Primary"	25111	HCPCS	360	RC		both	4691		Fee Schedule	4550.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4503.36				Other	2022.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3189.88		Some services are zero paid.		2022.76	4550.27	
Athroplasty Knee Medial and Lateral Comp	27447	HCPCS	360	RC		both	32604		Fee Schedule	31625.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	31299.84				Other	14058.84		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	22170.72		Some services are zero paid.		14058.84	31625.88	
"Tenotomy, Percutaneous, Achilles Tendon"	27606	HCPCS	360	RC		both	5148		Fee Schedule	4993.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4942.08				Other	2219.82		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3500.64		Some services are zero paid.		2219.82	4993.56	
Repair Secondary Achilles Tendon w/wo Gr	27654	HCPCS	360	RC		both	10911		Fee Schedule	10583.67		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	10474.56				Other	4704.82		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	7419.48		Some services are zero paid.		4704.82	10583.67	
Repair Flexor Tendon Leg Primary w/o Eac	27658	HCPCS	360	RC		both	7093		Fee Schedule	6880.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6809.28				Other	3058.5		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4823.24		Some services are zero paid.		3058.5	6880.21	
"Tenolysis, Flexor or Extensor Tendon Sin"	27680	HCPCS	360	RC		both	7960		Fee Schedule	7721.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7641.6				Other	3432.35		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5412.8		Some services are zero paid.		3432.35	7721.2	
Revision of Calf Tendon	27687	HCPCS	360	RC		both	7585		Fee Schedule	7357.45		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7281.6				Other	3270.65		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5157.8		Some services are zero paid.		3270.65	7357.45	
Transfer/Transplant of Single Tendon	27690	HCPCS	360	RC		both	7280		Fee Schedule	7061.6		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6988.8				Other	3139.14		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4950.4		Some services are zero paid.		3139.14	7061.6	
"Repair, Secondary, Disrupt Ligament Ankl"	27698	HCPCS	360	RC		both	16687		Fee Schedule	16186.39		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	16019.52				Other	7195.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	11347.16		Some services are zero paid.		7195.43	16186.39	
Open Treatment Medial Malleolus Fx	27766	HCPCS	360	RC		both	16046		Fee Schedule	15564.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	15404.16				Other	6919.04		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	10911.28		Some services are zero paid.		6919.04	15564.62	
"I&D Below Fascia, Foot; Single Bursal"	28002	HCPCS	360	RC		both	3501		Fee Schedule	3395.97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3360.96				Other	1509.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2380.68		Some services are zero paid.		1509.63	3395.97	
Fasciotomy Foot and/or Toe	28008	HCPCS	360	RC		both	6240		Fee Schedule	6052.8		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5990.4				Other	2690.69		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4243.2		Some services are zero paid.		2690.69	6052.8	
Fasciectomy Plantar Fascia Partial	28060	HCPCS	360	RC		both	6552		Fee Schedule	6355.44		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6289.92				Other	2825.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4455.36		Some services are zero paid.		2825.22	6355.44	
Synovectomy Tendon Sheath Foot Flexor	28086	HCPCS	360	RC		both	6864		Fee Schedule	6658.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6589.44				Other	2959.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4667.52		Some services are zero paid.		2959.76	6658.08	
Excision of Lesion/Tendon Foot	28090	HCPCS	360	RC		both	3619		Fee Schedule	3510.43		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3474.24				Other	1560.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2460.92		Some services are zero paid.		1560.51	3510.43	
Removal of Heel Bone	28118	HCPCS	360	RC		both	7002		Fee Schedule	6791.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6721.92				Other	3019.26		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4761.36		Some services are zero paid.		3019.26	6791.94	
Partial Excision Bone Tallus/Calcaneus	28120	HCPCS	360	RC		both	5393		Fee Schedule	5231.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5177.28				Other	2325.46		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3667.24		Some services are zero paid.		2325.46	5231.21	
Removal of Foot Foreign Body	28192	HCPCS	360	RC		both	3619		Fee Schedule	3510.43		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3474.24				Other	1560.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2460.92		Some services are zero paid.		1560.51	3510.43	
Repair Tendon Extensor Foot 1/2 Each	28208	HCPCS	360	RC		both	6750		Fee Schedule	6547.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6480				Other	2910.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4590		Some services are zero paid.		2910.6	6547.5	
Trmt Open Tendon Flexor Toe 1 Tendon	28232	HCPCS	360	RC		both	3547		Fee Schedule	3440.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3405.12				Other	1529.47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2411.96		Some services are zero paid.		1529.47	3440.59	
Tenotomy Open Extensor Foot/Toe Each Ten	28234	HCPCS	360	RC		both	3981		Fee Schedule	3861.57		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3821.76				Other	1716.61		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2707.08		Some services are zero paid.		1716.61	3861.57	
Capsulotomy Metatarsophalangeal Joint Ea	28270	HCPCS	360	RC		both	6979		Fee Schedule	6769.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6699.84				Other	3009.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4745.72		Some services are zero paid.		3009.34	6769.63	
"Correction, Hammertoe"	28285	HCPCS	360	RC		both	7273		Fee Schedule	7054.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6982.08				Other	3136.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4945.64		Some services are zero paid.		3136.12	7054.81	
Hallux Rigidus Correction	28289	HCPCS	360	RC		both	10010		Fee Schedule	9709.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	9609.6				Other	4316.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	6806.8		Some services are zero paid.		4316.31	9709.7	
"Osteotomy Other Than First Meta, Each"	28308	HCPCS	360	RC		both	7778		Fee Schedule	7544.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7466.88				Other	3353.87		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5289.04		Some services are zero paid.		3353.87	7544.66	
Open Tx Metatarsal Fx Including Fixation	28485	HCPCS	360	RC		both	13728		Fee Schedule	13316.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	13178.88				Other	5919.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	9335.04		Some services are zero paid.		5919.51	13316.16	
Open Trmt Tarsometatarsal Joint Dislocat	28615	HCPCS	360	RC		both	10296		Fee Schedule	9987.12		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	9884.16				Other	4439.64		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	7001.28		Some services are zero paid.		4439.64	9987.12	
Open Ttmt Metatarsophalgeal Joint Disloc	28645	HCPCS	360	RC		both	6806		Fee Schedule	6601.82		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6533.76				Other	2934.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4628.08		Some services are zero paid.		2934.75	6601.82	
Arthrodesis; Subtalar	28725	HCPCS	360	RC		both	14560		Fee Schedule	14123.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	13977.6				Other	6278.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	9900.8		Some services are zero paid.		6278.27	14123.2	
"Arthrodesis, Midtarsal/Tarsometatarsal"	28730	HCPCS	360	RC		both	16016		Fee Schedule	15535.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	15375.36				Other	6906.1		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	10890.88		Some services are zero paid.		6906.1	15535.52	
Arthrodesis Great Toe Metatarso Joint	28750	HCPCS	360	RC		both	16343		Fee Schedule	15852.71		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	15689.28				Other	7047.1		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	11113.24		Some services are zero paid.		7047.1	15852.71	
Amputation Foot Transmetatarsal	28805	HCPCS	360	RC		both	6448		Fee Schedule	6254.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6190.08				Other	2780.38		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4384.64		Some services are zero paid.		2780.38	6254.56	
"Amputation, Metatarsal, with Toe, Single"	28810	HCPCS	360	RC		both	7002		Fee Schedule	6791.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6721.92				Other	3019.26		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4761.36		Some services are zero paid.		3019.26	6791.94	
Amputation Toe Metatarsophalangeal Joint	28820	HCPCS	360	RC		both	7703		Fee Schedule	7471.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7394.88				Other	3321.53		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5238.04		Some services are zero paid.		3321.53	7471.91	
Amputation Toe Interphalangeal Joint	28825	HCPCS	360	RC		both	4576		Fee Schedule	4438.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4392.96				Other	1973.17		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3111.68		Some services are zero paid.		1973.17	4438.72	
Endoscopic Plantar Fasciotomy	29893	HCPCS	360	RC		both	7093		Fee Schedule	6880.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6809.28				Other	3058.5		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4823.24		Some services are zero paid.		3058.5	6880.21	
Submucous Resection Inferior Tubinate	30140	HCPCS	360	RC		both	6358		Fee Schedule	6167.26		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6103.68				Other	2741.57		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4323.44		Some services are zero paid.		2741.57	6167.26	
Septoplasty or Submucous Resection	30520	HCPCS	360	RC		both	5890		Fee Schedule	5713.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5654.4				Other	2539.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4005.2		Some services are zero paid.		2539.77	5713.3	
"Ablation, Soft Tissue Inferior, Intramur"	30802	HCPCS	360	RC		both	4220		Fee Schedule	4093.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4051.2				Other	1819.66		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2869.6		Some services are zero paid.		1819.66	4093.4	
"Fracture Nasal Inferior Turbinates, Ther"	30930	HCPCS	360	RC		both	5046		Fee Schedule	4894.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4844.16				Other	2175.84		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3431.28		Some services are zero paid.		2175.84	4894.62	
Pleural Drainage Percutaneous w/Ins Cath	32556	HCPCS	230	RC		inpatient	1048		Fee Schedule	1016.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1006.08				Other	451.9		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	712.64		Some services are zero paid.		451.9	1016.56	
Insertion of Non-Tunneled CVC; >5yrs	36556	HCPCS	360	RC		both	3661		Fee Schedule	3551.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3514.56				Other	1578.62		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2489.48		Some services are zero paid.		1578.62	3551.17	
Insert. of Tunneled Central Venous Cath.	36558	HCPCS	360	RC		both	3733		Fee Schedule	3621.01		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3583.68				Other	1609.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2538.44		Some services are zero paid.		1609.67	3621.01	
Insertion of Tunneled Centrally Venous	36561	HCPCS	360	RC		both	7054		Fee Schedule	6842.38		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6771.84				Other	3041.68		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4796.72		Some services are zero paid.		3041.68	6842.38	
Insertion of Central Venous Access Dev.	36571	HCPCS	360	RC		both	3097		Fee Schedule	3004.09		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2973.12				Other	1335.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2105.96		Some services are zero paid.		1335.43	3004.09	
Removal Tunneled Central Venous Catheter	36589	HCPCS	360	RC		both	1707		Fee Schedule	1655.79		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1638.72				Other	736.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1160.76		Some services are zero paid.		736.06	1655.79	
Removal of Tunneled Central Venous Devic	36590	HCPCS	360	RC		both	2868		Fee Schedule	2781.96		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2753.28				Other	1236.68		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1950.24		Some services are zero paid.		1236.68	2781.96	
Ligation or Biopsy; Temporal Artery	37609	HCPCS	360	RC		both	8028		Fee Schedule	7787.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7706.88				Other	3461.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5459.04		Some services are zero paid.		3461.67	7787.16	
"Biopsy/Excision of Lymph Node; Open, Sup"	38500	HCPCS	360	RC		both	5890		Fee Schedule	5713.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5654.4				Other	2539.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4005.2		Some services are zero paid.		2539.77	5713.3	
Excision of Lesion of Mouth Simple Repai	40812	HCPCS	360	RC		both	3677		Fee Schedule	3566.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3529.92				Other	1585.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2500.36		Some services are zero paid.		1585.52	3566.69	
Extraoral I&D Abscess/Cyst/Hematoma Subm	41016	HCPCS	360	RC		both	8580		Fee Schedule	8322.6		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	8236.8				Other	3699.7		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5834.4		Some services are zero paid.		3699.7	8322.6	
Unlisted Procedure; Dentoalveolar Struct	41899	HCPCS	360	RC		both	6312		Fee Schedule	6122.64		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6059.52				Other	2721.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4292.16		Some services are zero paid.		2721.73	6122.64	
Tonsillectomy & Adenoidectomy <12 years	42820	HCPCS	360	RC		both	5796		Fee Schedule	5622.12		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5564.16				Other	2499.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3941.28		Some services are zero paid.		2499.24	5622.12	
Tonsillectomy & Adenoidectomy >12 years	42821	HCPCS	360	RC		both	6407		Fee Schedule	6214.79		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6150.72				Other	2762.7		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4356.76		Some services are zero paid.		2762.7	6214.79	
Esophagoscopy Rig Transoral Removal FB	43194	HCPCS	360	RC		both	4004		Fee Schedule	3883.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3843.84				Other	1726.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2722.72		Some services are zero paid.		1726.52	3883.88	
Esophagoscopy Flexible Transoral w/Biops	43202	HCPCS	360	RC		both	2918		Fee Schedule	2830.46		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2801.28				Other	1258.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1984.24		Some services are zero paid.		1258.24	2830.46	
EGD Esophagus Balloon Dilation >30mm	43233	HCPCS	360	RC		both	4233		Fee Schedule	4106.01		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4063.68				Other	1825.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2878.44		Some services are zero paid.		1825.27	4106.01	
UGI w/ Removal of Foreign Body	43247	HCPCS	360	RC		both	3415		Fee Schedule	3312.55		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3278.4				Other	1472.55		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2322.2		Some services are zero paid.		1472.55	3312.55	
"Enterectomy, Resection of Sm Intest.; Sg"	44120	HCPCS	360	RC		both	10140		Fee Schedule	9835.8		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	9734.4				Other	4372.37		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	6895.2		Some services are zero paid.		4372.37	9835.8	
"Colectomy, partial; with anastomosis"	44140	HCPCS	360	RC		both	13611		Fee Schedule	13202.67		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	13066.56				Other	5869.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	9255.48		Some services are zero paid.		5869.06	13202.67	
"Colectomy, partial"	44141	HCPCS	360	RC		both	13035		Fee Schedule	12643.95		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	12513.6				Other	5620.69		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	8863.8		Some services are zero paid.		5620.69	12643.95	
"Colectomy, Partial, w/end Colostomy"	44143	HCPCS	360	RC		both	14300		Fee Schedule	13871		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	13728				Other	6166.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	9724		Some services are zero paid.		6166.16	13871	
Colectomy; partial w/Remov of Ileum w/Il	44160	HCPCS	360	RC		both	14875		Fee Schedule	14428.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	14280				Other	6414.1		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	10115		Some services are zero paid.		6414.1	14428.75	
"Laparoscopy, Surgical, Enterolysis"	44180	HCPCS	360	RC		both	13171		Fee Schedule	12775.87		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	12644.16				Other	5679.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	8956.28		Some services are zero paid.		5679.34	12775.87	
Laparoscopy; Colectomy Partial w/Anastom	44204	HCPCS	360	RC		both	16861		Fee Schedule	16355.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	16186.56				Other	7270.46		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	11465.48		Some services are zero paid.		7270.46	16355.17	
Laparoscopy; colectomy partial w/Ilecolo	44205	HCPCS	360	RC		both	15345		Fee Schedule	14884.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	14731.2				Other	6616.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	10434.6		Some services are zero paid.		6616.76	14884.65	
Closure of Enterostomy-Large/Small Intes	44620	HCPCS	360	RC		both	15145		Fee Schedule	14690.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	14539.2				Other	6530.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	10298.6		Some services are zero paid.		6530.52	14690.65	
Proctosigmoidoscopy; with Biopsy	45305	HCPCS	360	RC		both	2487		Fee Schedule	2412.39		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2387.52				Other	1072.39		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1691.16		Some services are zero paid.		1072.39	2412.39	
"Sigmoidoscopy, Flexible; Diagnostic"	45330	HCPCS	360	RC		both	1770		Fee Schedule	1716.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1699.2				Other	763.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1203.6		Some services are zero paid.		763.22	1716.9	
Sigmoidoscopy Flexible w/Removal FB	45332	HCPCS	360	RC		both	1075		Fee Schedule	1042.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1032				Other	463.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	731		Some services are zero paid.		463.54	1042.75	
"Sigmoidoscopy, Flexible; w/Band Ligation"	45340	HCPCS	360	RC		both	2685		Fee Schedule	2604.45		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2577.6				Other	1157.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1825.8		Some services are zero paid.		1157.77	2604.45	
"C-Scope, Flexible w/Removal of FB"	45379	HCPCS	360	RC		both	2600		Fee Schedule	2522		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2496				Other	1121.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1768		Some services are zero paid.		1121.12	2522	
Colonoscopy; w/submucosal injection(s)	45381	HCPCS	360	RC		both	3141		Fee Schedule	3046.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3015.36				Other	1354.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2135.88		Some services are zero paid.		1354.4	3046.77	
C-Scope Flexible w/Balloon Dilation	45386	HCPCS	360	RC		both	3501		Fee Schedule	3395.97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3360.96				Other	1509.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2380.68		Some services are zero paid.		1509.63	3395.97	
"Anorectal Exam, Surgical, Diagnostic"	45990	HCPCS	360	RC		both	5417		Fee Schedule	5254.49		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5200.32				Other	2335.81		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3683.56		Some services are zero paid.		2335.81	5254.49	
I&D-Perianal Abscess-Superficial	46050	HCPCS	360	RC		both	1872		Fee Schedule	1815.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1797.12				Other	807.21		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1272.96		Some services are zero paid.		807.21	1815.84	
Incision of Thrombosed Hemorrhoid; Exter	46083	HCPCS	360	RC		both	1401		Fee Schedule	1358.97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1344.96				Other	604.11		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	952.68		Some services are zero paid.		604.11	1358.97	
"Hemorrhoidectomy, Rubber Band"	46221	HCPCS	360	RC		both	1338		Fee Schedule	1297.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1284.48				Other	576.95		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	909.84		Some services are zero paid.		576.95	1297.86	
"Hemorrhoidectomy, Internal & External"	46255	HCPCS	360	RC		both	5255		Fee Schedule	5097.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5044.8				Other	2265.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3573.4		Some services are zero paid.		2265.96	5097.35	
Surgical Treatment of Anal Fistula	46270	HCPCS	360	RC		both	5720		Fee Schedule	5548.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5491.2				Other	2466.46		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3889.6		Some services are zero paid.		2466.46	5548.4	
"Hemorrhoidectomy, Internal, Ligation"	46945	HCPCS	360	RC		both	5360		Fee Schedule	5199.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5145.6				Other	2311.23		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3644.8		Some services are zero paid.		2311.23	5199.2	
Exploratory Laparotomy	49000	HCPCS	360	RC		both	7588		Fee Schedule	7360.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7284.48				Other	3271.95		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5159.84		Some services are zero paid.		3271.95	7360.36	
Peritoneal Lavage w/wo Imaging Guidance	49084	HCPCS	360	RC		both	1040		Fee Schedule	1008.8		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	998.4				Other	448.45		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	707.2		Some services are zero paid.		448.45	1008.8	
Omentectomy Epiploectomy Resection	49255	HCPCS	360	RC		both	4160		Fee Schedule	4035.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3993.6				Other	1793.79		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2828.8		Some services are zero paid.		1793.79	4035.2	
"Repair Initial Femoral Hernia, Incar/Str"	49553	HCPCS	360	RC		both	7581		Fee Schedule	7353.57		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7277.76				Other	3268.93		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5155.08		Some services are zero paid.		3268.93	7353.57	
Repair AA Hernia 1st <3cm Reducible	49591	HCPCS	360	RC		both	7384		Fee Schedule	7162.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7088.64				Other	3183.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5021.12		Some services are zero paid.		3183.98	7162.48	
Repair AA Hernia 1st <3cm Noncar/Strangu	49592	HCPCS	360	RC		both	8528		Fee Schedule	8272.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	8186.88				Other	3677.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5799.04		Some services are zero paid.		3677.27	8272.16	
Repair AA Hernia 1st 3-10cm Reducible	49593	HCPCS	360	RC		both	8237		Fee Schedule	7989.89		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7907.52				Other	3551.79		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5601.16		Some services are zero paid.		3551.79	7989.89	
Repair of Parastomal Hernia Incar/Strang	49622	HCPCS	360	RC		both	12584		Fee Schedule	12206.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	12080.64				Other	5426.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	8557.12		Some services are zero paid.		5426.22	12206.48	
"Cystorrhaphy, Suture of Bladder Wound"	51860	HCPCS	360	RC		both	5411		Fee Schedule	5248.67		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5194.56				Other	2333.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3679.48		Some services are zero paid.		2333.22	5248.67	
Biopsy Penis Separate Procedure	54100	HCPCS	360	RC		both	3677		Fee Schedule	3566.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3529.92				Other	1585.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2500.36		Some services are zero paid.		1585.52	3566.69	
Circumcision; >28 days of Age	54161	HCPCS	360	RC		both	5111		Fee Schedule	4957.67		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4906.56				Other	2203.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3475.48		Some services are zero paid.		2203.86	4957.67	
Excision of Hydrocele; Unilateral	55040	HCPCS	360	RC		both	7244		Fee Schedule	7026.68		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6954.24				Other	3123.61		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4925.92		Some services are zero paid.		3123.61	7026.68	
Vasectomy; Uni or Bilateral	55250	HCPCS	360	RC		both	4970		Fee Schedule	4820.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4771.2				Other	2143.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3379.6		Some services are zero paid.		2143.06	4820.9	
Excision of Varicocele of Spermatic Vein	55530	HCPCS	360	RC		both	7551		Fee Schedule	7324.47		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7248.96				Other	3255.99		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5134.68		Some services are zero paid.		3255.99	7324.47	
Excision Varicocele/Ligation Veins w/HR	55540	HCPCS	360	RC		both	6864		Fee Schedule	6658.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6589.44				Other	2959.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4667.52		Some services are zero paid.		2959.76	6658.08	
Anterior Colporraphy Repair Cystocele w/	57240	HCPCS	360	RC		both	12286		Fee Schedule	11917.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	11794.56				Other	5297.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	8354.48		Some services are zero paid.		5297.72	11917.42	
Post Colporrhaphy Rectocele w/w/o Perine	57250	HCPCS	360	RC		both	12253		Fee Schedule	11885.41		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	11762.88				Other	5283.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	8332.04		Some services are zero paid.		5283.49	11885.41	
Sling Operation for Stress Incontinence	57288	HCPCS	360	RC		both	9650		Fee Schedule	9360.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	9264				Other	4161.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	6562		Some services are zero paid.		4161.08	9360.5	
Pelvic Exam Under Anes.	57410	HCPCS	360	RC		both	4194		Fee Schedule	4068.18		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4026.24				Other	1808.45		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2851.92		Some services are zero paid.		1808.45	4068.18	
Removal of Impacted Vaginal Foreign Body	57415	HCPCS	360	RC		both	5200		Fee Schedule	5044		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4992				Other	2242.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3536		Some services are zero paid.		2242.24	5044	
Endometrial Biopsy	58100	HCPCS	360	RC		both	993		Fee Schedule	963.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	953.28				Other	428.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	675.24		Some services are zero paid.		428.18	963.21	
"Vaginal Hysterectomy, for Uterus <250 G"	58260	HCPCS	360	RC		both	13656		Fee Schedule	13246.32		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	13109.76				Other	5888.47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	9286.08		Some services are zero paid.		5888.47	13246.32	
Laparoscopy w/Vaginal Hysterectomy	58550	HCPCS	360	RC		both	13650		Fee Schedule	13240.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	13104				Other	5885.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	9282		Some services are zero paid.		5885.88	13240.5	
"Laparoscopy, Vaginal Hyst w/Removal Tube"	58552	HCPCS	360	RC		both	17845		Fee Schedule	17309.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	17131.2				Other	7694.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	12134.6		Some services are zero paid.		7694.76	17309.65	
Hysteroscopy w/Biopsy w/wo D&C	58558	HCPCS	360	RC		both	7150		Fee Schedule	6935.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6864				Other	3083.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4862		Some services are zero paid.		3083.08	6935.5	
Laparoscopy w/Total Hysterectomy <250g	58570	HCPCS	360	RC		both	16859		Fee Schedule	16353.23		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	16184.64				Other	7269.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	11464.12		Some services are zero paid.		7269.6	16353.23	
Laparoscopic Oophorectomy and/or Salping	58661	HCPCS	360	RC		both	7760		Fee Schedule	7527.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	7449.6				Other	3346.11		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	5276.8		Some services are zero paid.		3346.11	7527.2	
Salpingectomy Complete or Partial	58700	HCPCS	360	RC		both	10010		Fee Schedule	9709.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	9609.6				Other	4316.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	6806.8		Some services are zero paid.		4316.31	9709.7	
Lap. Trmt of Eptopic Preg. w/ Sal/Oop	59151	HCPCS	360	RC		both	12704		Fee Schedule	12322.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	12195.84				Other	5477.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	8638.72		Some services are zero paid.		5477.96	12322.88	
"Curettage, Postpartum"	59160	HCPCS	360	RC		both	5008		Fee Schedule	4857.76		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4807.68				Other	2159.45		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3405.44		Some services are zero paid.		2159.45	4857.76	
Treatment of Incomplete Abortion	59812	HCPCS	360	RC		both	6482		Fee Schedule	6287.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6222.72				Other	2795.04		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4407.76		Some services are zero paid.		2795.04	6287.54	
"Treatment of Missed Abortion, Surgical"	59820	HCPCS	360	RC		both	5602		Fee Schedule	5433.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	5377.92				Other	2415.58		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3809.36		Some services are zero paid.		2415.58	5433.94	
Neuroplasty; Median Nerve at Carpal Tun.	64721	HCPCS	360	RC		both	4924		Fee Schedule	4776.28		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4727.04				Other	2123.23		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3348.32		Some services are zero paid.		2123.23	4776.28	
Cataract Surgery	66984	HCPCS	360	RC		outpatient	4476		Fee Schedule	4341.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4296.96				Other	1930.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3043.68		Some services are zero paid.		1930.05	4341.72	
Tympanostomy General Anesthesia	69436	HCPCS	360	RC		both	6302		Fee Schedule	6112.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6049.92				Other	2717.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4285.36		Some services are zero paid.		2717.42	6112.94	
Tympanic Membrane Repair w/wo Perf/Patch	69610	HCPCS	360	RC		both	6692		Fee Schedule	6491.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	6424.32				Other	2885.59		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	4550.56		Some services are zero paid.		2885.59	6491.24	
Debridement-<20 sq cm	97597	HCPCS	360	RC		both	1003		Fee Schedule	972.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	962.88				Other	432.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	682.04		Some services are zero paid.		432.49	972.91	
RN Conscious Sedation 15 Mins >5 yrs old	99152	HCPCS	360	RC		both	115		Fee Schedule	111.55		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	110.4				Other	49.59		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	78.2		Some services are zero paid.		49.59	111.55	
Screening Colonoscopy	G0105	HCPCS	360	RC		both	3030		Fee Schedule	2939.1		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2908.8				Other	1306.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2060.4		Some services are zero paid.		1306.54	2939.1	
Screening Colonoscopy	G0121	HCPCS	360	RC		both	3030		Fee Schedule	2939.1		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2908.8				Other	1306.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2060.4		Some services are zero paid.		1306.54	2939.1	
Med/Surg I & D-abscess-simple or single	10060	HCPCS	230	RC		inpatient	380		Fee Schedule	368.6		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	364.8				Other	163.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	258.4		Some services are zero paid.		163.86	368.6	
"I & D, Hematoma, Simple"	10140	HCPCS	230	RC		inpatient	690		Fee Schedule	669.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	662.4				Other	297.53		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	469.2		Some services are zero paid.		297.53	669.3	
Puncture Aspiration-a/h/b/c	10160	HCPCS	230	RC		inpatient	420		Fee Schedule	407.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	403.2				Other	181.1		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	285.6		Some services are zero paid.		181.1	407.4	
Insertion Drug Delivery Implant	11981	HCPCS	230	RC		inpatient	263		Fee Schedule	255.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	252.48				Other	113.41		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	178.84		Some services are zero paid.		113.41	255.11	
Simple repair-s/n/a/g/t/e-2.6 to 7.5cm	12002	HCPCS	230	RC		inpatient	578		Fee Schedule	560.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	554.88				Other	249.23		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	393.04		Some services are zero paid.		249.23	560.66	
Complex repair-f/n/a/g/h/f-2.6 to 7.5cm	13132	HCPCS	230	RC		inpatient	683		Fee Schedule	662.51		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	655.68				Other	294.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	464.44		Some services are zero paid.		294.51	662.51	
Simple repair-s/n/a/g/t/e-<=2.5cm	12001	HCPCS	230	RC		inpatient	525		Fee Schedule	509.25		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	504				Other	226.38		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	357		Some services are zero paid.		226.38	509.25	
Arthrocentesis Aspiration/Injection w/o	20610	HCPCS	230	RC		inpatient	510		Fee Schedule	494.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	489.6				Other	219.91		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	346.8		Some services are zero paid.		219.91	494.7	
Intubation	31500	HCPCS	230	RC		inpatient	784		Fee Schedule	760.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	752.64				Other	338.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	533.12		Some services are zero paid.		338.06	760.48	
"Tube Thoracostomy with water seal, open"	32551	HCPCS	230	RC		inpatient	828		Fee Schedule	803.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	794.88				Other	357.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	563.04		Some services are zero paid.		357.03	803.16	
Thoracentesis; w/ imaging guidance	32555	HCPCS	230	RC		inpatient	1323		Fee Schedule	1283.31		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1270.08				Other	570.48		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	899.64		Some services are zero paid.		570.48	1283.31	
Anesthesia Venipuncture <3 Years	36400	HCPCS	230	RC		inpatient	255		Fee Schedule	247.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	244.8				Other	109.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	173.4		Some services are zero paid.		109.96	247.35	
Med/Surg Venipuncture >3 yrs	36410	HCPCS	230	RC		inpatient	142		Fee Schedule	137.74		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	136.32				Other	61.23		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	96.56		Some services are zero paid.		61.23	137.74	
Med/Surg Inse Central Venous Cath >5 yrs	36556	HCPCS	230	RC		inpatient	1351		Fee Schedule	1310.47		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1296.96				Other	582.55		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	918.68		Some services are zero paid.		582.55	1310.47	
Med/Surg PICC Insertion >5 yrs w/o Image	36569	HCPCS	230	RC		inpatient	1218		Fee Schedule	1181.46		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1169.28				Other	525.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	828.24		Some services are zero paid.		525.2	1181.46	
Med/Surg Arterial Catheter/Cannula Perc	36620	HCPCS	230	RC		inpatient	688		Fee Schedule	667.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	660.48				Other	296.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	467.84		Some services are zero paid.		296.67	667.36	
Replacement of Gastronomy Tube	43762	HCPCS	230	RC		inpatient	828		Fee Schedule	803.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	794.88				Other	357.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	563.04		Some services are zero paid.		357.03	803.16	
Med/Surg Abdominal Paracentesis w/Image	49083	HCPCS	230	RC		inpatient	1153		Fee Schedule	1118.41		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1106.88				Other	497.17		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	784.04		Some services are zero paid.		497.17	1118.41	
Insertion of catheter-simple (foley)	51702	HCPCS	230	RC		inpatient	228		Fee Schedule	221.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	218.88				Other	98.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	155.04		Some services are zero paid.		98.31	221.16	
Spinal Puncture Lumbar Diagnostic	62270	HCPCS	230	RC		inpatient	770		Fee Schedule	746.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	739.2				Other	332.02		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	523.6		Some services are zero paid.		332.02	746.9	
Med/Surg Vascular Access Guidance w/Imag	76937	HCPCS	230	RC		inpatient	900		Fee Schedule	873		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	864				Other	388.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	612		Some services are zero paid.		388.08	873	
US Guidance for Needle Placement	76942	HCPCS	230	RC		inpatient	644		Fee Schedule	624.68		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	618.24				Other	277.69		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	437.92		Some services are zero paid.		277.69	624.68	
"Biopsy of Breast, Needle Core, w/o image"	19100	HCPCS	230	RC		inpatient	1260		Fee Schedule	1222.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1209.6				Other	543.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	856.8		Some services are zero paid.		543.31	1222.2	
Med/Surg Resuscitation	92950	HCPCS	460	RC		inpatient	1327		Fee Schedule	1287.19		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1273.92				Other	572.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	902.36		Some services are zero paid.		572.2	1287.19	
Med/Surg US Urine Capacity Measure	51798	HCPCS	460	RC		inpatient	158		Fee Schedule	153.26		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	151.68				Other	68.13		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	107.44		Some services are zero paid.		68.13	153.26	
Obstetrical Outpatient Room	99211	HCPCS	510	RC		inpatient	1064		Fee Schedule	1032.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1021.44				Other	458.8		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	723.52		Some services are zero paid.		458.8	1032.08	
OB Resuscitation	92950	HCPCS	722	RC		inpatient	1301		Fee Schedule	1261.97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1248.96				Other	560.99		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	884.68		Some services are zero paid.		560.99	1261.97	
Labor Initial Hour	721	RC				inpatient	1124		Fee Schedule	1090.28		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1079.04				Other	484.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	764.32		Some services are zero paid.		484.67	1090.28	
Labor Each Subsequent Hour	721	RC				inpatient	309		Fee Schedule	299.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	296.64				Other	133.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	210.12		Some services are zero paid.		133.24	299.73	
Induction with Prostaglandin	59200	HCPCS	721	RC		inpatient	972		Fee Schedule	942.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	933.12				Other	419.13		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	660.96		Some services are zero paid.		419.13	942.84	
OB Nonstress Test	59025	HCPCS	720	RC		inpatient	551		Fee Schedule	534.47		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	528.96				Other	237.59		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	374.68		Some services are zero paid.		237.59	534.47	
Delivery Room Routine	722	RC				inpatient	1473		Fee Schedule	1428.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1414.08				Other	635.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1001.64		Some services are zero paid.		635.16	1428.81	
Delivery Room High	722	RC				inpatient	2808		Fee Schedule	2723.76		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2695.68				Other	1210.81		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1909.44		Some services are zero paid.		1210.81	2723.76	
CRNA Professional Fees (per minute)	964	RC				both	22		Fee Schedule	21.34		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	21.12				Other	9.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		9.49	21.34	
CRNA-Intubation	31500	HCPCS	964	RC		both	867		Fee Schedule	840.99		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	832.32				Other	373.85		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		373.85	840.99	
CRNA-Venipuncture <3 yrs (Femo/Jug Vein)	36400	HCPCS	964	RC		both	134		Fee Schedule	129.98		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	128.64				Other	57.78		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		57.78	129.98	
CRNA-Venipuncture >3 yrs	36410	HCPCS	964	RC		both	110		Fee Schedule	106.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	105.6				Other	47.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		47.43	106.7	
CRNA-US Guidance Needle Placement S&I	76942	HCPCS	320	RC		both	369		Fee Schedule	357.93		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	354.24				Other	159.11		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	250.92		Some services are zero paid.		159.11	357.93	
CRNA-Epidural Professional Fee	964	RC				both	1535		Fee Schedule	1488.95		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1473.6				Other	661.89		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		661.89	1488.95	
CRNA Consultation Pre-Surgery-Basic	99212	HCPCS	964	RC		both	107		Fee Schedule	103.79		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	102.72				Other	46.14		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		46.14	103.79	
Anes Agents 1Hr.	370	RC				both	379		Fee Schedule	367.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	363.84				Other	163.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	257.72		Some services are zero paid.		163.42	367.63	
Anes Agents Add 1Hr.	370	RC				both	163		Fee Schedule	158.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	156.48				Other	70.29		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	110.84		Some services are zero paid.		70.29	158.11	
CRNA-Trans Epidural w/Image Lum/Sac Sing	64483	HCPCS	964	RC		both	1920		Fee Schedule	1862.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1843.2				Other	827.9		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		827.9	1862.4	
CRNA-Trigger Point 1 or 2 muscles	20552	HCPCS	964	RC		both	575		Fee Schedule	557.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	552				Other	247.94		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		247.94	557.75	
CRNA-Fluoroscopic Guidance Needle Placem	77002	HCPCS	964	RC		both	153		Fee Schedule	148.41		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	146.88				Other	65.97		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		65.97	148.41	
CRNA-Arthro Asp/Inj Joint/Bursa w/US	20610	HCPCS	964	RC		both	528		Fee Schedule	512.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	506.88				Other	227.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		227.67	512.16	
CRNA-Trans Epi L/S Ea Addt Level w/Image	64484	HCPCS	964	RC		both	994		Fee Schedule	964.18		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	954.24				Other	428.61		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		428.61	964.18	
CRNA-Injection Sacroiliac Joint w/Image	27096	HCPCS	964	RC		both	528		Fee Schedule	512.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	506.88				Other	227.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		227.67	512.16	
CRNA-Injection L/S w/Image Single Level	64493	HCPCS	964	RC		both	1537		Fee Schedule	1490.89		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1475.52				Other	662.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		662.75	1490.89	
CRNA-Injection C/T w/Image Single Level	64490	HCPCS	964	RC		both	1220		Fee Schedule	1183.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1171.2				Other	526.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		526.06	1183.4	
CRNA-Injection Cervical/Thoracic 2nd Lev	64491	HCPCS	964	RC		both	1003		Fee Schedule	972.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	962.88				Other	432.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		432.49	972.91	
CRNA-Injection Greater Occipital Nerve	64405	HCPCS	964	RC		both	707		Fee Schedule	685.79		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	678.72				Other	304.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		304.86	685.79	
CRNA-Injection Epi L/S w/Image	62323	HCPCS	964	RC		both	1352		Fee Schedule	1311.44		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1297.92				Other	582.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		582.98	1311.44	
CRNA-Epidural Cervical/Thoracic w/Image	62321	HCPCS	964	RC		both	1863		Fee Schedule	1807.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1788.48				Other	803.33		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		803.33	1807.11	
CRNA-Anes for Patient of Extreme Age	99100	HCPCS	964	RC		both	519		Fee Schedule	503.43		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	498.24				Other	223.79		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		223.79	503.43	
CRNA-Anes Complicated by Emergency Condi	99140	HCPCS	964	RC		both	969		Fee Schedule	939.93		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	930.24				Other	417.83		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		417.83	939.93	
CRNA-TAP Block Bilateral Inject w/Image	64488	HCPCS	964	RC		both	650		Fee Schedule	630.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	624				Other	280.28		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		280.28	630.5	
CRNA-TAP Block Unilateral w/Image	64486	HCPCS	964	RC		both	1120		Fee Schedule	1086.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1075.2				Other	482.94		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		482.94	1086.4	
CRNA-Arterial Catheter/Cannula Percutane	36620	HCPCS	964	RC		both	412		Fee Schedule	399.64		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	395.52				Other	177.65		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		177.65	399.64	
CRNA-PICC Insertion >5 Years w/o Image	36569	HCPCS	964	RC		both	837		Fee Schedule	811.89		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	803.52				Other	360.91		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		360.91	811.89	
"CRNA-Arthrocentesis, Asp/Inj. Bursa"	20611	HCPCS	964	RC		both	518		Fee Schedule	502.46		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	497.28				Other	223.36		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		223.36	502.46	
CRNA-Fluoroscopy for Central Vein Access	77001	HCPCS	320	RC		both	864		Fee Schedule	838.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	829.44				Other	372.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	587.52		Some services are zero paid.		372.56	838.08	
CRNA-Vascular Access Guidance w/Image	76937	HCPCS	320	RC		both	793		Fee Schedule	769.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	761.28				Other	341.94		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	539.24		Some services are zero paid.		341.94	769.21	
"CRNA-Injection, Cervical/Thorac 3rd Leve"	64492	HCPCS	964	RC		both	1003		Fee Schedule	972.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	962.88				Other	432.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		432.49	972.91	
CRNA-Spinal Puncture Lumbar Diagnostic	62270	HCPCS	964	RC		both	1263		Fee Schedule	1225.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1212.48				Other	544.61		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		544.61	1225.11	
CRNA-PICC Insertion >5 years w/Image	36573	HCPCS	964	RC		both	551		Fee Schedule	534.47		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	528.96				Other	237.59		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		237.59	534.47	
CRNA-Injection Femoral Nerve w/Imaging	64447	HCPCS	964	RC		both	685		Fee Schedule	664.45		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	657.6				Other	295.37		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		295.37	664.45	
CRNA-Insertion Central Venous Cath; >5yr	36556	HCPCS	964	RC		both	975		Fee Schedule	945.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	936				Other	420.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		420.42	945.75	
US OB Transvag	76817	HCPCS	402	RC		both	574		Fee Schedule	556.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	551.04				Other	247.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	390.32		Some services are zero paid.		247.51	556.78	
Spine/Lumbar Single View	72020	HCPCS	320	RC		both	349		Fee Schedule	338.53		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	335.04				Other	150.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	237.32		Some services are zero paid.		150.49	338.53	
Sacrum with Coccyx 2 Views	72220	HCPCS	320	RC		both	373		Fee Schedule	361.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	358.08				Other	160.84		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	253.64		Some services are zero paid.		160.84	361.81	
Dexa Scan	77080	HCPCS	320	RC		both	613		Fee Schedule	594.61		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	588.48				Other	264.33		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	416.84		Some services are zero paid.		264.33	594.61	
Ankle 2 Views Left	73600	HCPCS	320	RC	LT	both	274		Fee Schedule	265.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	263.04				Other	118.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	186.32		Some services are zero paid.		118.15	265.78	
Ankle 2 Views Right	73600	HCPCS	320	RC	RT	both	274		Fee Schedule	265.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	263.04				Other	118.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	186.32		Some services are zero paid.		118.15	265.78	
Ankle 3 View Min Left	73610	HCPCS	320	RC	LT	both	282		Fee Schedule	273.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	270.72				Other	121.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	191.76		Some services are zero paid.		121.6	273.54	
Ankle 3 Views Min Right	73610	HCPCS	320	RC	RT	both	282		Fee Schedule	273.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	270.72				Other	121.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	191.76		Some services are zero paid.		121.6	273.54	
Clavicle Left	73000	HCPCS	320	RC	LT	both	246		Fee Schedule	238.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	236.16				Other	106.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	167.28		Some services are zero paid.		106.08	238.62	
Clavicle Right	73000	HCPCS	320	RC	RT	both	246		Fee Schedule	238.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	236.16				Other	106.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	167.28		Some services are zero paid.		106.08	238.62	
Elbow 2 Views Left	73070	HCPCS	320	RC	LT	both	277		Fee Schedule	268.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	265.92				Other	119.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	188.36		Some services are zero paid.		119.44	268.69	
Elbow 2 Views Right	73070	HCPCS	320	RC	RT	both	277		Fee Schedule	268.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	265.92				Other	119.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	188.36		Some services are zero paid.		119.44	268.69	
Elbow 3 Views Min Left	73080	HCPCS	320	RC	LT	both	289		Fee Schedule	280.33		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	277.44				Other	124.62		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	196.52		Some services are zero paid.		124.62	280.33	
Elbow 3 View Min Right	73080	HCPCS	320	RC	RT	both	289		Fee Schedule	280.33		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	277.44				Other	124.62		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	196.52		Some services are zero paid.		124.62	280.33	
Finger(s) 2 Views Min Left	73140	HCPCS	320	RC	LT	both	228		Fee Schedule	221.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	218.88				Other	98.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	155.04		Some services are zero paid.		98.31	221.16	
Finger(s) 2 Views Min Right	73140	HCPCS	320	RC	RT	both	228		Fee Schedule	221.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	218.88				Other	98.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	155.04		Some services are zero paid.		98.31	221.16	
Foot 2 Views Left	73620	HCPCS	320	RC	LT	both	274		Fee Schedule	265.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	263.04				Other	118.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	186.32		Some services are zero paid.		118.15	265.78	
Foot 2 Views Right	73620	HCPCS	320	RC	RT	both	274		Fee Schedule	265.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	263.04				Other	118.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	186.32		Some services are zero paid.		118.15	265.78	
Foot 3 Views Min Left	73630	HCPCS	320	RC	LT	both	282		Fee Schedule	273.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	270.72				Other	121.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	191.76		Some services are zero paid.		121.6	273.54	
Foot 3 Views Min Right	73630	HCPCS	320	RC	RT	both	282		Fee Schedule	273.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	270.72				Other	121.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	191.76		Some services are zero paid.		121.6	273.54	
Sternum	71120	HCPCS	320	RC		both	258		Fee Schedule	250.26		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	247.68				Other	111.25		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	175.44		Some services are zero paid.		111.25	250.26	
Forearm 2 Views Left	73090	HCPCS	320	RC	LT	both	290		Fee Schedule	281.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	278.4				Other	125.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	197.2		Some services are zero paid.		125.05	281.3	
Forearm 2 Views Right	73090	HCPCS	320	RC	RT	both	290		Fee Schedule	281.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	278.4				Other	125.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	197.2		Some services are zero paid.		125.05	281.3	
Toe(s) Left	73660	HCPCS	320	RC	LT	both	236		Fee Schedule	228.92		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	226.56				Other	101.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	160.48		Some services are zero paid.		101.76	228.92	
Toe(s) Right	73660	HCPCS	320	RC	RT	both	236		Fee Schedule	228.92		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	226.56				Other	101.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	160.48		Some services are zero paid.		101.76	228.92	
Hand 2 Views Left	73120	HCPCS	320	RC	LT	both	274		Fee Schedule	265.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	263.04				Other	118.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	186.32		Some services are zero paid.		118.15	265.78	
Hand 2 Views Right	73120	HCPCS	320	RC	RT	both	274		Fee Schedule	265.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	263.04				Other	118.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	186.32		Some services are zero paid.		118.15	265.78	
Hand 3 Views Min Left	73130	HCPCS	320	RC	LT	both	326		Fee Schedule	316.22		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	312.96				Other	140.57		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	221.68		Some services are zero paid.		140.57	316.22	
Spine Cervical AP/Lateral/Odo	72040	HCPCS	320	RC		both	374		Fee Schedule	362.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	359.04				Other	161.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	254.32		Some services are zero paid.		161.27	362.78	
Hand 3 Views Min Right	73130	HCPCS	320	RC	RT	both	326		Fee Schedule	316.22		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	312.96				Other	140.57		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	221.68		Some services are zero paid.		140.57	316.22	
Heel Oscalsis Right	73650	HCPCS	320	RC	RT	both	236		Fee Schedule	228.92		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	226.56				Other	101.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	160.48		Some services are zero paid.		101.76	228.92	
Heel Oscalsis Left	73650	HCPCS	320	RC	LT	both	236		Fee Schedule	228.92		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	226.56				Other	101.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	160.48		Some services are zero paid.		101.76	228.92	
Spine Cervical Complete	72050	HCPCS	320	RC		both	472		Fee Schedule	457.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	453.12				Other	203.53		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	320.96		Some services are zero paid.		203.53	457.84	
Humerus 2 Views Min Left	73060	HCPCS	320	RC	LT	both	277		Fee Schedule	268.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	265.92				Other	119.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	188.36		Some services are zero paid.		119.44	268.69	
Humerus 2 Views Min Right	73060	HCPCS	320	RC	RT	both	277		Fee Schedule	268.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	265.92				Other	119.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	188.36		Some services are zero paid.		119.44	268.69	
Knee 1-2 Views Left	73560	HCPCS	320	RC	LT	both	282		Fee Schedule	273.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	270.72				Other	121.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	191.76		Some services are zero paid.		121.6	273.54	
Knee 1-2 Views Right	73560	HCPCS	320	RC	RT	both	282		Fee Schedule	273.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	270.72				Other	121.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	191.76		Some services are zero paid.		121.6	273.54	
Knee 3 Views Left	73562	HCPCS	320	RC	LT	both	294		Fee Schedule	285.18		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	282.24				Other	126.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	199.92		Some services are zero paid.		126.77	285.18	
Knee 3 Views Right	73562	HCPCS	320	RC	RT	both	294		Fee Schedule	285.18		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	282.24				Other	126.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	199.92		Some services are zero paid.		126.77	285.18	
Spine Thoracic 3 Views	72072	HCPCS	320	RC		both	386		Fee Schedule	374.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	370.56				Other	166.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	262.48		Some services are zero paid.		166.44	374.42	
Knee 4 Views Left	73564	HCPCS	320	RC	LT	both	302		Fee Schedule	292.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	289.92				Other	130.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	205.36		Some services are zero paid.		130.22	292.94	
Knee 4 Views Right	73564	HCPCS	320	RC	RT	both	302		Fee Schedule	292.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	289.92				Other	130.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	205.36		Some services are zero paid.		130.22	292.94	
Tib/Fib Left	73590	HCPCS	320	RC	LT	both	282		Fee Schedule	273.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	270.72				Other	121.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	191.76		Some services are zero paid.		121.6	273.54	
Tib/Fib Right	73590	HCPCS	320	RC	RT	both	282		Fee Schedule	273.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	270.72				Other	121.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	191.76		Some services are zero paid.		121.6	273.54	
Ribs Left W PA CXR	71101	HCPCS	320	RC		both	445		Fee Schedule	431.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	427.2				Other	191.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	302.6		Some services are zero paid.		191.88	431.65	
Ribs Right W PA CXR	71101	HCPCS	320	RC		both	445		Fee Schedule	431.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	427.2				Other	191.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	302.6		Some services are zero paid.		191.88	431.65	
Scapula Left	73010	HCPCS	320	RC	LT	both	282		Fee Schedule	273.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	270.72				Other	121.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	191.76		Some services are zero paid.		121.6	273.54	
Scapula Right	73010	HCPCS	320	RC	RT	both	282		Fee Schedule	273.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	270.72				Other	121.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	191.76		Some services are zero paid.		121.6	273.54	
Shoulder 1 View Left	73020	HCPCS	320	RC	RT	both	272		Fee Schedule	263.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	261.12				Other	117.29		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	184.96		Some services are zero paid.		117.29	263.84	
Shoulder 1 View Right	73020	HCPCS	320	RC	RT	both	272		Fee Schedule	263.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	261.12				Other	117.29		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	184.96		Some services are zero paid.		117.29	263.84	
Shoulder 2 Views Min Left	73030	HCPCS	320	RC	LT	both	291		Fee Schedule	282.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	279.36				Other	125.48		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	197.88		Some services are zero paid.		125.48	282.27	
Shoulder 2 Views Min Right	73030	HCPCS	320	RC	RT	both	291		Fee Schedule	282.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	279.36				Other	125.48		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	197.88		Some services are zero paid.		125.48	282.27	
Spine Lumbar	72100	HCPCS	320	RC		both	376		Fee Schedule	364.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	360.96				Other	162.13		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	255.68		Some services are zero paid.		162.13	364.72	
Wrist 2 Views Left	73100	HCPCS	320	RC	LT	both	274		Fee Schedule	265.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	263.04				Other	118.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	186.32		Some services are zero paid.		118.15	265.78	
Wrist 2 Views Right	73100	HCPCS	320	RC	RT	both	274		Fee Schedule	265.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	263.04				Other	118.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	186.32		Some services are zero paid.		118.15	265.78	
Wrist 3 Views Min Left	73110	HCPCS	320	RC	LT	both	282		Fee Schedule	273.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	270.72				Other	121.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	191.76		Some services are zero paid.		121.6	273.54	
Wrist 3 Views Min Right	73110	HCPCS	320	RC	RT	both	282		Fee Schedule	273.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	270.72				Other	121.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	191.76		Some services are zero paid.		121.6	273.54	
Spine Thoracic 2 View	72070	HCPCS	320	RC		both	376		Fee Schedule	364.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	360.96				Other	162.13		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	255.68		Some services are zero paid.		162.13	364.72	
Pelvis 1-2 Views	72170	HCPCS	320	RC		both	311		Fee Schedule	301.67		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	298.56				Other	134.1		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	211.48		Some services are zero paid.		134.1	301.67	
Chest Single View	71045	HCPCS	324	RC		both	211		Fee Schedule	204.67		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	202.56				Other	90.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	143.48		Some services are zero paid.		90.98	204.67	
Chest 2 Views	71046	HCPCS	324	RC		both	309		Fee Schedule	299.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	296.64				Other	133.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	210.12		Some services are zero paid.		133.24	299.73	
Chest 4 or More Views	71048	HCPCS	320	RC		both	428		Fee Schedule	415.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	410.88				Other	184.55		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	291.04		Some services are zero paid.		184.55	415.16	
Abdomen 1 View	74018	HCPCS	320	RC		both	255		Fee Schedule	247.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	244.8				Other	109.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	173.4		Some services are zero paid.		109.96	247.35	
Abdomen 2 Views	74019	HCPCS	320	RC		both	388		Fee Schedule	376.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	372.48				Other	167.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	263.84		Some services are zero paid.		167.31	376.36	
Orbits	70200	HCPCS	320	RC		both	332		Fee Schedule	322.04		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	318.72				Other	143.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	225.76		Some services are zero paid.		143.16	322.04	
Facial Bones <3 Views	70140	HCPCS	320	RC		both	330		Fee Schedule	320.1		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	316.8				Other	142.3		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	224.4		Some services are zero paid.		142.3	320.1	
Sinuses Complete	70220	HCPCS	320	RC		both	363		Fee Schedule	352.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	348.48				Other	156.53		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	246.84		Some services are zero paid.		156.53	352.11	
TM Joints Bilateral	70330	HCPCS	320	RC		both	304		Fee Schedule	294.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	291.84				Other	131.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	206.72		Some services are zero paid.		131.08	294.88	
Mandible	70110	HCPCS	320	RC		both	336		Fee Schedule	325.92		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	322.56				Other	144.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	228.48		Some services are zero paid.		144.88	325.92	
Skull AP & Lateral	70250	HCPCS	320	RC		both	363		Fee Schedule	352.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	348.48				Other	156.53		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	246.84		Some services are zero paid.		156.53	352.11	
Esophagram	74220	HCPCS	320	RC		both	688		Fee Schedule	667.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	660.48				Other	296.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	467.84		Some services are zero paid.		296.67	667.36	
Esophagram w/Air	74221	HCPCS	320	RC		both	1210		Fee Schedule	1173.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1161.6				Other	521.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	822.8		Some services are zero paid.		521.75	1173.7	
UGI Single Contrast w/o KUB	74240	HCPCS	320	RC		both	942		Fee Schedule	913.74		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	904.32				Other	406.19		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	640.56		Some services are zero paid.		406.19	913.74	
Small Bowel	74250	HCPCS	320	RC		both	835		Fee Schedule	809.95		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	801.6				Other	360.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	567.8		Some services are zero paid.		360.05	809.95	
Barium Enema Single Contrast	74270	HCPCS	320	RC		both	1218		Fee Schedule	1181.46		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1169.28				Other	525.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	828.24		Some services are zero paid.		525.2	1181.46	
Cholangiogram OR	74300	HCPCS	320	RC		both	1187		Fee Schedule	1151.39		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1139.52				Other	511.83		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	807.16		Some services are zero paid.		511.83	1151.39	
Barium Enema Air Contrast	74280	HCPCS	320	RC		both	1215		Fee Schedule	1178.55		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1166.4				Other	523.91		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	826.2		Some services are zero paid.		523.91	1178.55	
Cystogram Retrograde	74450	HCPCS	320	RC		both	541		Fee Schedule	524.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	519.36				Other	233.28		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	367.88		Some services are zero paid.		233.28	524.77	
US Spinal Canal	76800	HCPCS	402	RC		both	579		Fee Schedule	561.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	555.84				Other	249.66		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	393.72		Some services are zero paid.		249.66	561.63	
Ribs Bilateral w PA Chest	71111	HCPCS	320	RC		both	542		Fee Schedule	525.74		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	520.32				Other	233.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	368.56		Some services are zero paid.		233.71	525.74	
Spine Cervical Lateral	72020	HCPCS	320	RC		both	349		Fee Schedule	338.53		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	335.04				Other	150.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	237.32		Some services are zero paid.		150.49	338.53	
Spine Cervical w Obl&Flex/Ext	72052	HCPCS	320	RC		both	542		Fee Schedule	525.74		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	520.32				Other	233.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	368.56		Some services are zero paid.		233.71	525.74	
Mandible <4 Views	70100	HCPCS	320	RC		both	288		Fee Schedule	279.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	276.48				Other	124.19		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	195.84		Some services are zero paid.		124.19	279.36	
MRI Spine Lumbar w & w/o	72158	HCPCS	610	RC		both	4583		Fee Schedule	4445.51		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4399.68				Other	1976.19		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3116.44		Some services are zero paid.		1976.19	4445.51	
Insertion of Non-Indwelling Catheter	51701	HCPCS	983	RC		outpatient	281		Fee Schedule	272.57		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	269.76				Other	26.89		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		26.89	272.57	
US Pelvis Limited/FU	76857	HCPCS	402	RC		both	483		Fee Schedule	468.51		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	463.68				Other	208.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	328.44		Some services are zero paid.		208.27	468.51	
Spine Lumbar w Obliques	72110	HCPCS	320	RC		both	553		Fee Schedule	536.41		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	530.88				Other	238.45		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	376.04		Some services are zero paid.		238.45	536.41	
Spine Lumbar 4 Views Minimum	72110	HCPCS	320	RC		both	560		Fee Schedule	543.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	537.6				Other	241.47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	380.8		Some services are zero paid.		241.47	543.2	
US OB F/U	76816	HCPCS	402	RC		both	577		Fee Schedule	559.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	553.92				Other	248.8		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	392.36		Some services are zero paid.		248.8	559.69	
US Abdomen	76700	HCPCS	402	RC		both	858		Fee Schedule	832.26		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	823.68				Other	369.97		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	583.44		Some services are zero paid.		369.97	832.26	
US Abdomen Single Organ	76775	HCPCS	402	RC		both	656		Fee Schedule	636.32		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	629.76				Other	282.87		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	446.08		Some services are zero paid.		282.87	636.32	
US OB Limited/Fetus	76815	HCPCS	402	RC		both	403		Fee Schedule	390.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	386.88				Other	173.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	274.04		Some services are zero paid.		173.77	390.91	
US Guidance D&C	76998	HCPCS	402	RC		both	427		Fee Schedule	414.19		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	409.92				Other	184.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	290.36		Some services are zero paid.		184.12	414.19	
US Abdomen RUQ	76705	HCPCS	402	RC		both	830		Fee Schedule	805.1		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	796.8				Other	357.9		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	564.4		Some services are zero paid.		357.9	805.1	
US Infant Hips w/out manipulation	76886	HCPCS	402	RC		both	656		Fee Schedule	636.32		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	629.76				Other	282.87		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	446.08		Some services are zero paid.		282.87	636.32	
MRI Brain w & w/o	70553	HCPCS	610	RC		both	4809		Fee Schedule	4664.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4616.64				Other	2073.64		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3270.12		Some services are zero paid.		2073.64	4664.73	
Eye for Foreign Body	70030	HCPCS	320	RC		both	318		Fee Schedule	308.46		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	305.28				Other	137.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	216.24		Some services are zero paid.		137.12	308.46	
Fluoroscopy <1 Hour	76000	HCPCS	320	RC		both	698		Fee Schedule	677.06		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	670.08				Other	300.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	474.64		Some services are zero paid.		300.98	677.06	
MRI Spine Thoracic w & w/o	72157	HCPCS	610	RC		both	4583		Fee Schedule	4445.51		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4399.68				Other	1976.19		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3116.44		Some services are zero paid.		1976.19	4445.51	
MRI Orbits/Face/Neck w & w/o	70543	HCPCS	610	RC		both	5149		Fee Schedule	4994.53		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4943.04				Other	2220.25		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3501.32		Some services are zero paid.		2220.25	4994.53	
MRI Shoulder Left W	73222	HCPCS	610	RC	LT	both	3694		Fee Schedule	3583.18		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3546.24				Other	1592.85		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2511.92		Some services are zero paid.		1592.85	3583.18	
MRI Shoulder Right W	73222	HCPCS	610	RC	RT	both	3694		Fee Schedule	3583.18		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3546.24				Other	1592.85		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2511.92		Some services are zero paid.		1592.85	3583.18	
MRI Hip Left W	73722	HCPCS	610	RC	LT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Hip Right W	73722	HCPCS	610	RC	RT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Brain w/o	70551	HCPCS	610	RC		both	3710		Fee Schedule	3598.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3561.6				Other	1599.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2522.8		Some services are zero paid.		1599.75	3598.7	
MRI Brain w	70552	HCPCS	610	RC		both	4112		Fee Schedule	3988.64		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3947.52				Other	1773.09		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2796.16		Some services are zero paid.		1773.09	3988.64	
MRI Spine Cervical w/o	72141	HCPCS	610	RC		both	3643		Fee Schedule	3533.71		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3497.28				Other	1570.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2477.24		Some services are zero paid.		1570.86	3533.71	
MRI Spine Thoracic w/o	72146	HCPCS	610	RC		both	3761		Fee Schedule	3648.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3610.56				Other	1621.74		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2557.48		Some services are zero paid.		1621.74	3648.17	
MRI Spine Lumbar w/o	72148	HCPCS	610	RC		both	4041		Fee Schedule	3919.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3879.36				Other	1742.48		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2747.88		Some services are zero paid.		1742.48	3919.77	
MRI Pelvis w/o	72195	HCPCS	610	RC		both	3677		Fee Schedule	3566.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3529.92				Other	1585.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2500.36		Some services are zero paid.		1585.52	3566.69	
MRI Abdomen w/o	74181	HCPCS	610	RC		both	4024		Fee Schedule	3903.28		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3863.04				Other	1735.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2736.32		Some services are zero paid.		1735.15	3903.28	
MRI Clavicle w w/o	73223	HCPCS	610	RC		both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
C Arm <1 Hour	76000	HCPCS	320	RC		both	685		Fee Schedule	664.45		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	657.6				Other	295.37		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	465.8		Some services are zero paid.		295.37	664.45	
Sinuses Limited	70210	HCPCS	320	RC		both	330		Fee Schedule	320.1		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	316.8				Other	142.3		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	224.4		Some services are zero paid.		142.3	320.1	
Nasal Bones	70160	HCPCS	320	RC		both	264		Fee Schedule	256.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	253.44				Other	113.84		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	179.52		Some services are zero paid.		113.84	256.08	
UGI AC w/o KUB	74246	HCPCS	320	RC		both	1197		Fee Schedule	1161.09		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1149.12				Other	516.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	813.96		Some services are zero paid.		516.15	1161.09	
US Pelvis T/Vag Secondary	76830	HCPCS	402	RC		outpatient	204		Fee Schedule	197.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	195.84				Other	87.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	138.72		Some services are zero paid.		87.96	197.88	
US OB Transvag Secondary	76817	HCPCS	402	RC	LT	both	268		Fee Schedule	259.96		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	257.28				Other	115.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	182.24		Some services are zero paid.		115.56	259.96	
US OB Biophysical Profile w/o Non-ST	76819	HCPCS	402	RC		both	352		Fee Schedule	341.44		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	337.92				Other	151.78		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	239.36		Some services are zero paid.		151.78	341.44	
US Scrotum	76870	HCPCS	402	RC		both	948		Fee Schedule	919.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	910.08				Other	408.78		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	644.64		Some services are zero paid.		408.78	919.56	
US Thyroid	76536	HCPCS	402	RC		both	656		Fee Schedule	636.32		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	629.76				Other	282.87		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	446.08		Some services are zero paid.		282.87	636.32	
US Thorax	76604	HCPCS	402	RC		both	415		Fee Schedule	402.55		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	398.4				Other	178.95		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	282.2		Some services are zero paid.		178.95	402.55	
US OB Umbilical Doppler	76820	HCPCS	402	RC		outpatient	155		Fee Schedule	150.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	148.8				Other	66.84		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	105.4		Some services are zero paid.		66.84	150.35	
Spine Thoracic Single View	72020	HCPCS	320	RC		both	349		Fee Schedule	338.53		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	335.04				Other	150.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	237.32		Some services are zero paid.		150.49	338.53	
MRA Brain w/o	70544	HCPCS	610	RC		both	3710		Fee Schedule	3598.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3561.6				Other	1599.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2522.8		Some services are zero paid.		1599.75	3598.7	
MRA Neck w & w/o	70549	HCPCS	610	RC		both	4210		Fee Schedule	4083.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4041.6				Other	1815.35		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2862.8		Some services are zero paid.		1815.35	4083.7	
MRI Spine Cervical w & w/o	72156	HCPCS	610	RC		both	4628		Fee Schedule	4489.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4442.88				Other	1995.59		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3147.04		Some services are zero paid.		1995.59	4489.16	
Insertion of catheter-simple (foley)	51702	HCPCS	983	RC		outpatient	567		Fee Schedule	549.99		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	544.32				Other	26.74		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		26.74	549.99	
Facial Bones = or >3 Views	70150	HCPCS	320	RC		both	357		Fee Schedule	346.29		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	342.72				Other	153.94		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	242.76		Some services are zero paid.		153.94	346.29	
US Abdomen Renal w Bladder	76770	HCPCS	402	RC		both	738		Fee Schedule	715.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	708.48				Other	318.23		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	501.84		Some services are zero paid.		318.23	715.86	
US Abdomen Limited	76705	HCPCS	402	RC		both	776		Fee Schedule	752.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	744.96				Other	334.61		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	527.68		Some services are zero paid.		334.61	752.72	
Esophagus Modified Swallow	74230	HCPCS	320	RC		both	648		Fee Schedule	628.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	622.08				Other	279.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	440.64		Some services are zero paid.		279.42	628.56	
US Soft Tissue - Extremity	76882	HCPCS	402	RC		both	788		Fee Schedule	764.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	756.48				Other	339.79		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	535.84		Some services are zero paid.		339.79	764.36	
Ribs Unilateral	71100	HCPCS	320	RC		both	321		Fee Schedule	311.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	308.16				Other	138.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	218.28		Some services are zero paid.		138.42	311.37	
Bone Survey Nonmetastatic	77075	HCPCS	320	RC		both	1810		Fee Schedule	1755.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1737.6				Other	780.47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1230.8		Some services are zero paid.		780.47	1755.7	
US Soft Tissue Neck	76536	HCPCS	402	RC		both	848		Fee Schedule	822.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	814.08				Other	365.66		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	576.64		Some services are zero paid.		365.66	822.56	
MRI Pelvis w & w/o	72197	HCPCS	610	RC		both	4546		Fee Schedule	4409.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4364.16				Other	1960.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3091.28		Some services are zero paid.		1960.24	4409.62	
US OB >1st Trimester Transabdominal	76805	HCPCS	402	RC		both	527		Fee Schedule	511.19		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	505.92				Other	227.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	358.36		Some services are zero paid.		227.24	511.19	
US OB 1st Trimester Multiples	76802	HCPCS	402	RC		both	276		Fee Schedule	267.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	264.96				Other	119.01		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	187.68		Some services are zero paid.		119.01	267.72	
US OB > 1st Trimester Multiples	76810	HCPCS	402	RC		both	345		Fee Schedule	334.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	331.2				Other	148.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	234.6		Some services are zero paid.		148.76	334.65	
US OB 1st Trimester Transabdominal	76801	HCPCS	402	RC		both	483		Fee Schedule	468.51		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	463.68				Other	208.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	328.44		Some services are zero paid.		208.27	468.51	
Soft Tissue Neck	70360	HCPCS	320	RC		both	283		Fee Schedule	274.51		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	271.68				Other	122.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	192.44		Some services are zero paid.		122.03	274.51	
US OB>14 Weeks Detailed Anatomy	76811	HCPCS	402	RC		both	816		Fee Schedule	791.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	783.36				Other	351.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	554.88		Some services are zero paid.		351.86	791.52	
Digital Mammo Screening Bilateral w/CAD	77067	HCPCS	403	RC		both	579		Fee Schedule	561.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	555.84				Other	90.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	393.72		Some services are zero paid.		90.16	561.63	
Digital Mammo Screening Left w/CAD	77067	HCPCS	403	RC	LT	both	513		Fee Schedule	497.61		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	492.48				Other	90.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	348.84		Some services are zero paid.		90.16	497.61	
Digital Mammo Screening Right w/CAD	77067	HCPCS	403	RC	RT	both	513		Fee Schedule	497.61		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	492.48				Other	90.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	348.84		Some services are zero paid.		90.16	497.61	
Digital Mammo-Diagnostic Bilateral w/CAD	77066	HCPCS	401	RC		both	706		Fee Schedule	684.82		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	677.76				Other	304.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	480.08		Some services are zero paid.		304.43	684.82	
Digital Mammo Diagnostic Left w/CAD	77065	HCPCS	401	RC	LT	both	582		Fee Schedule	564.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	558.72				Other	250.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	395.76		Some services are zero paid.		250.96	564.54	
Digital Mammo Diagnostic Right w/CAD	77065	HCPCS	401	RC	RT	both	582		Fee Schedule	564.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	558.72				Other	250.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	395.76		Some services are zero paid.		250.96	564.54	
Mammo Screening Tomosynthesis Bilateral	77063	HCPCS	403	RC		outpatient	69		Fee Schedule	66.93		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	66.24				Other	29.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	46.92		Some services are zero paid.		29.75	66.93	
Mammo Screening Tomosynthesis Left	77063	HCPCS	403	RC	LT	outpatient	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Mammo Screening Tomosynthesis Right	77063	HCPCS	403	RC	RT	outpatient	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Arthrogram Shoulder Left	73040	HCPCS	320	RC	LT	both	1091		Fee Schedule	1058.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1047.36				Other	470.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	741.88		Some services are zero paid.		470.44	1058.27	
Arthrogram Shoulder Right	73040	HCPCS	320	RC	RT	both	1091		Fee Schedule	1058.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1047.36				Other	470.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	741.88		Some services are zero paid.		470.44	1058.27	
Arthrogram Hip Left	73525	HCPCS	320	RC	LT	both	1039		Fee Schedule	1007.83		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	997.44				Other	448.02		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	706.52		Some services are zero paid.		448.02	1007.83	
Arthrogram Hip Right	73525	HCPCS	320	RC	RT	both	1049		Fee Schedule	1017.53		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1007.04				Other	452.33		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	713.32		Some services are zero paid.		452.33	1017.53	
Bone Age Studies	77072	HCPCS	320	RC		both	274		Fee Schedule	265.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	263.04				Other	118.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	186.32		Some services are zero paid.		118.15	265.78	
Arthrogram Wrist Left	73115	HCPCS	320	RC	LT	both	1091		Fee Schedule	1058.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1047.36				Other	470.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	741.88		Some services are zero paid.		470.44	1058.27	
Arthrogram Wrist Right	73115	HCPCS	320	RC	RT	both	1091		Fee Schedule	1058.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1047.36				Other	470.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	741.88		Some services are zero paid.		470.44	1058.27	
MRI Wrist Left w/	73222	HCPCS	610	RC	LT	both	3694		Fee Schedule	3583.18		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3546.24				Other	1592.85		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2511.92		Some services are zero paid.		1592.85	3583.18	
MRI Wrist Right w/	73222	HCPCS	610	RC	RT	both	3694		Fee Schedule	3583.18		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3546.24				Other	1592.85		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2511.92		Some services are zero paid.		1592.85	3583.18	
MRI Hand Left w/o	73218	HCPCS	610	RC	LT	both	3523		Fee Schedule	3417.31		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3382.08				Other	1519.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2395.64		Some services are zero paid.		1519.12	3417.31	
MRI Hand Right w/o	73218	HCPCS	610	RC	RT	both	3523		Fee Schedule	3417.31		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3382.08				Other	1519.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2395.64		Some services are zero paid.		1519.12	3417.31	
MRI Hand Left w w/o	73220	HCPCS	610	RC	LT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Hand Right w w/o	73220	HCPCS	610	RC	RT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
US Bladder w Post V Residual	76857	HCPCS	402	RC		both	388		Fee Schedule	376.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	372.48				Other	167.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	263.84		Some services are zero paid.		167.31	376.36	
MRI Abdomen w and w/o	74183	HCPCS	610	RC		both	4666		Fee Schedule	4526.02		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	4479.36				Other	2011.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	3172.88		Some services are zero paid.		2011.98	4526.02	
Sacral Illiac Joints >2 Views	72202	HCPCS	320	RC		both	286		Fee Schedule	277.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	274.56				Other	123.32		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	194.48		Some services are zero paid.		123.32	277.42	
US OB Biophysical Profile w Non-ST	76818	HCPCS	402	RC		both	352		Fee Schedule	341.44		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	337.92				Other	151.78		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	239.36		Some services are zero paid.		151.78	341.44	
US Abdomen 4 Quad	76775	HCPCS	402	RC		both	738		Fee Schedule	715.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	708.48				Other	318.23		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	501.84		Some services are zero paid.		318.23	715.86	
Fluoro Guide. for Needle Place; Bil	77002	HCPCS	320	RC		both	909		Fee Schedule	881.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	872.64				Other	391.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	618.12		Some services are zero paid.		391.96	881.73	
Pelvis > 2 Views	72190	HCPCS	320	RC		both	321		Fee Schedule	311.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	308.16				Other	138.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	218.28		Some services are zero paid.		138.42	311.37	
MRI Ankle Left w/o	73721	HCPCS	610	RC	LT	both	3395		Fee Schedule	3293.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3259.2				Other	1463.92		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2308.6		Some services are zero paid.		1463.92	3293.15	
MRI Ankle Left w w/o	73723	HCPCS	610	RC	LT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Ankle Right w/o	73721	HCPCS	610	RC	RT	both	3395		Fee Schedule	3293.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3259.2				Other	1463.92		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2308.6		Some services are zero paid.		1463.92	3293.15	
MRI Ankle Right w w/o	73723	HCPCS	610	RC	RT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Brachial Plexus Left w w/o	73220	HCPCS	610	RC	LT	both	4063		Fee Schedule	3941.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3900.48				Other	1751.97		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2762.84		Some services are zero paid.		1751.97	3941.11	
MRI Elbow Left w/o	73221	HCPCS	610	RC	LT	both	3523		Fee Schedule	3417.31		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3382.08				Other	1519.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2395.64		Some services are zero paid.		1519.12	3417.31	
MRI Elbow Right w/o	73221	HCPCS	610	RC	RT	both	3523		Fee Schedule	3417.31		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3382.08				Other	1519.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2395.64		Some services are zero paid.		1519.12	3417.31	
MRI Foot Left w/o	73718	HCPCS	610	RC	LT	both	3395		Fee Schedule	3293.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3259.2				Other	1463.92		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2308.6		Some services are zero paid.		1463.92	3293.15	
MRI Foot Left w w/o	73720	HCPCS	610	RC	LT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Foot Right w/o	73718	HCPCS	610	RC	RT	both	3395		Fee Schedule	3293.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3259.2				Other	1463.92		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2308.6		Some services are zero paid.		1463.92	3293.15	
MRI Foot Right w w/o	73720	HCPCS	610	RC	RT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Forearm Right w/o	73218	HCPCS	610	RC	RT	both	2638		Fee Schedule	2558.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	2532.48				Other	1137.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1793.84		Some services are zero paid.		1137.51	2558.86	
MRI Forearm Left w w/o	73220	HCPCS	610	RC	LT	both	3537		Fee Schedule	3430.89		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3395.52				Other	1525.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2405.16		Some services are zero paid.		1525.15	3430.89	
MRI Hip Left w/o	73721	HCPCS	610	RC	LT	both	3395		Fee Schedule	3293.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3259.2				Other	1463.92		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2308.6		Some services are zero paid.		1463.92	3293.15	
MRI Hip Left w w/o	73723	HCPCS	610	RC	LT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Hip Right w/o	73721	HCPCS	610	RC	RT	both	3395		Fee Schedule	3293.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3259.2				Other	1463.92		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2308.6		Some services are zero paid.		1463.92	3293.15	
MRI Humerus Left w/o	73218	HCPCS	610	RC	LT	both	3523		Fee Schedule	3417.31		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3382.08				Other	1519.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2395.64		Some services are zero paid.		1519.12	3417.31	
MRI Humerus Right w w/o	73220	HCPCS	610	RC	RT	both	3537		Fee Schedule	3430.89		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3395.52				Other	1525.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2405.16		Some services are zero paid.		1525.15	3430.89	
MRI Knee Left w/o	73721	HCPCS	610	RC	LT	both	3395		Fee Schedule	3293.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3259.2				Other	1463.92		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2308.6		Some services are zero paid.		1463.92	3293.15	
MRI Knee Left w w/o	73723	HCPCS	610	RC	LT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Knee Right w/o	73721	HCPCS	610	RC	RT	both	3395		Fee Schedule	3293.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3259.2				Other	1463.92		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2308.6		Some services are zero paid.		1463.92	3293.15	
MRI Knee Right w w/o	73723	HCPCS	610	RC	RT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Shoulder Left w/o	73221	HCPCS	610	RC	LT	both	3523		Fee Schedule	3417.31		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3382.08				Other	1519.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2395.64		Some services are zero paid.		1519.12	3417.31	
MRI Shoulder Left w w/o	73223	HCPCS	610	RC	LT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Shoulder Right w/o	73221	HCPCS	610	RC	RT	both	3523		Fee Schedule	3417.31		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3382.08				Other	1519.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2395.64		Some services are zero paid.		1519.12	3417.31	
MRI Shoulder Right w w/o	73223	HCPCS	610	RC	RT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Tib/Fib Left w/o	73718	HCPCS	610	RC	LT	both	3449		Fee Schedule	3345.53		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3311.04				Other	1487.21		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2345.32		Some services are zero paid.		1487.21	3345.53	
MRI Tib/Fib Left w w/o	73720	HCPCS	610	RC	LT	both	4063		Fee Schedule	3941.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3900.48				Other	1751.97		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2762.84		Some services are zero paid.		1751.97	3941.11	
MRI Tib/Fib Right w/o	73718	HCPCS	610	RC	RT	both	3449		Fee Schedule	3345.53		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3311.04				Other	1487.21		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2345.32		Some services are zero paid.		1487.21	3345.53	
MRI Tib/Fib Right w w/o	73720	HCPCS	610	RC	RT	both	4063		Fee Schedule	3941.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3900.48				Other	1751.97		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2762.84		Some services are zero paid.		1751.97	3941.11	
MRI Wrist Left w/o	73221	HCPCS	610	RC	LT	both	3523		Fee Schedule	3417.31		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3382.08				Other	1519.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2395.64		Some services are zero paid.		1519.12	3417.31	
MRI Wrist Left w w/o	73223	HCPCS	610	RC	LT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Wrist Right w/o	73221	HCPCS	610	RC	RT	both	3523		Fee Schedule	3417.31		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3382.08				Other	1519.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2395.64		Some services are zero paid.		1519.12	3417.31	
MRI Wrist Right w w/o	73223	HCPCS	610	RC	RT	both	3700		Fee Schedule	3589		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3552				Other	1595.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2516		Some services are zero paid.		1595.44	3589	
MRI Femur Left w/o	73718	HCPCS	610	RC	LT	both	3284		Fee Schedule	3185.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3152.64				Other	1416.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2233.12		Some services are zero paid.		1416.06	3185.48	
MRI Femur Right w/o	73718	HCPCS	610	RC	RT	both	3284		Fee Schedule	3185.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3152.64				Other	1416.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2233.12		Some services are zero paid.		1416.06	3185.48	
MRI Femur Right w w/o	73720	HCPCS	610	RC	RT	both	4063		Fee Schedule	3941.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	3900.48				Other	1751.97		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	2762.84		Some services are zero paid.		1751.97	3941.11	
US Abdomen Follow-Up Non OB	76705	HCPCS	402	RC		both	392		Fee Schedule	380.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	376.32				Other	169.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	266.56		Some services are zero paid.		169.03	380.24	
US Breast Right Limited	76642	HCPCS	402	RC	RT	both	774		Fee Schedule	750.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	743.04				Other	333.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	526.32		Some services are zero paid.		333.75	750.78	
US Breast Left Limited	76642	HCPCS	402	RC	LT	both	774		Fee Schedule	750.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	743.04				Other	333.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	526.32		Some services are zero paid.		333.75	750.78	
Femur 2 View Left	73552	HCPCS	320	RC	LT	both	321		Fee Schedule	311.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	308.16				Other	138.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	218.28		Some services are zero paid.		138.42	311.37	
Femur 2 View Right	73552	HCPCS	320	RC	RT	both	321		Fee Schedule	311.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	308.16				Other	138.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	218.28		Some services are zero paid.		138.42	311.37	
Hip 1 View Left	73501	HCPCS	320	RC	LT	both	244		Fee Schedule	236.68		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	234.24				Other	105.21		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	165.92		Some services are zero paid.		105.21	236.68	
Hip 1 View Right	73501	HCPCS	320	RC	RT	both	244		Fee Schedule	236.68		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	234.24				Other	105.21		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	165.92		Some services are zero paid.		105.21	236.68	
Hip 2 Views Min Left	73502	HCPCS	320	RC	LT	both	325		Fee Schedule	315.25		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	312				Other	140.14		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	221		Some services are zero paid.		140.14	315.25	
Hip 2 Views Min Right	73502	HCPCS	320	RC	RT	both	325		Fee Schedule	315.25		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	312				Other	140.14		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	221		Some services are zero paid.		140.14	315.25	
Pelvis AP w/2 View Hip Left	73502	HCPCS	320	RC	LT	both	325		Fee Schedule	315.25		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	312				Other	140.14		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	221		Some services are zero paid.		140.14	315.25	
Pelvis AP/Lateral Hip Bil	73521	HCPCS	320	RC		both	340		Fee Schedule	329.8		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	326.4				Other	146.61		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	231.2		Some services are zero paid.		146.61	329.8	
Pelvis AP w/2 View Hip Right	73502	HCPCS	320	RC	RT	both	325		Fee Schedule	315.25		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	312				Other	140.14		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	221		Some services are zero paid.		140.14	315.25	
US Breast Right Complete	76641	HCPCS	402	RC	RT	both	816		Fee Schedule	791.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	783.36				Other	351.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	554.88		Some services are zero paid.		351.86	791.52	
US Breast Left Complete	76641	HCPCS	402	RC	LT	both	816		Fee Schedule	791.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	783.36				Other	351.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	554.88		Some services are zero paid.		351.86	791.52	
Limited Doppler Scan	93976	HCPCS	921	RC		both	173		Fee Schedule	167.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	166.08				Other	74.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	117.64		Some services are zero paid.		74.6	167.81	
Femur 1 View Left	73551	HCPCS	320	RC	LT	both	295		Fee Schedule	286.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	283.2				Other	127.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	200.6		Some services are zero paid.		127.2	286.15	
Femur 1 View Right	73551	HCPCS	320	RC	RT	both	295		Fee Schedule	286.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	283.2				Other	127.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	200.6		Some services are zero paid.		127.2	286.15	
Lumbar Spine Flex & Ext	72120	HCPCS	320	RC		both	362		Fee Schedule	351.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	347.52				Other	156.09		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	246.16		Some services are zero paid.		156.09	351.14	
US Pelvis Complete	76856	HCPCS	402	RC		both	720		Fee Schedule	698.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	691.2				Other	310.46		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	489.6		Some services are zero paid.		310.46	698.4	
Brevibloc/Esmolol 100mg/10mL (10mg) IV	636	RC				both	22.3		Fee Schedule	21.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	21.41				Other	9.61		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	15.16		Some services are zero paid.		9.61	21.63	
Liquid Polibar Plus/Barium Sulfate Rec S	255	RC				both	61.5		Fee Schedule	59.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.04				Other	26.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	41.82		Some services are zero paid.		26.52	59.66	
US Measurement of Post-Voiding Urine	51798	HCPCS	983	RC		outpatient	63		Fee Schedule	61.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	60.48				Other	12.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges			Some services are zero paid.		12.52	61.11	
Amylase	82150	HCPCS	300	RC		both	174		Fee Schedule	168.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	167.04				Other	75.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	118.32		Some services are zero paid.		75.03	168.78	
Arterial Puncture	36600	HCPCS	300	RC		both	63		Fee Schedule	61.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	60.48				Other	26.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.84		Some services are zero paid.		26.34	61.11	
Alkaline Phosphatase	84075	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
SGOT; Transferrase; Aspartate Amino	84450	HCPCS	300	RC		both	88		Fee Schedule	85.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	84.48				Other	37.95		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	59.84		Some services are zero paid.		37.95	85.36	
SGPT; Alanine Amino	84460	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
LDH; Lactate Dehydrogenase	83615	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
2 Hour Glucose Tolerance Test	82951	HCPCS	300	RC		both	152		Fee Schedule	147.44		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	145.92				Other	65.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	103.36		Some services are zero paid.		65.54	147.44	
Glucose; Post Glucose Dose	82950	HCPCS	300	RC		both	70		Fee Schedule	67.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	67.2				Other	30.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	47.6		Some services are zero paid.		30.18	67.9	
Influenza A Virus	87276	HCPCS	300	RC		both	138		Fee Schedule	133.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	132.48				Other	59.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	93.84		Some services are zero paid.		59.51	133.86	
Influenza B Virus	87275	HCPCS	300	RC		both	138		Fee Schedule	133.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	132.48				Other	59.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	93.84		Some services are zero paid.		59.51	133.86	
GGT; Glutamyltransferase; Gamma	82977	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
Blood Occult Other Sources	82271	HCPCS	300	RC		both	89		Fee Schedule	86.33		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	85.44				Other	38.38		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	60.52		Some services are zero paid.		38.38	86.33	
Urine Drug Screen	80306	HCPCS	300	RC		both	97		Fee Schedule	94.09		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	93.12				Other	41.83		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	65.96		Some services are zero paid.		41.83	94.09	
CPK; Creatinine Kinase Total	82550	HCPCS	300	RC		both	89		Fee Schedule	86.33		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	85.44				Other	38.38		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	60.52		Some services are zero paid.		38.38	86.33	
Strep A PCR	87651	HCPCS	300	RC		both	170		Fee Schedule	164.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	163.2				Other	73.3		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	115.6		Some services are zero paid.		73.3	164.9	
Chlamydia Amplified Probe PCR	87491	HCPCS	300	RC		both	204		Fee Schedule	197.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	195.84				Other	87.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	138.72		Some services are zero paid.		87.96	197.88	
Neisseria Gonorrhoea Amplified Probe PCR	87591	HCPCS	300	RC		both	227		Fee Schedule	220.19		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	217.92				Other	97.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	154.36		Some services are zero paid.		97.88	220.19	
SARS-CoV-2 RNA Qualitative RT	87635	HCPCS	300	RC		both	355		Fee Schedule	344.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	340.8				Other	153.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	241.4		Some services are zero paid.		153.08	344.35	
Sodium	84295	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
Lab Specimen Collection	36415	HCPCS	300	RC		both	38		Fee Schedule			"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	36.48				Other	16.39		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	25.84		Some services are zero paid.		16.39	36.48	
Potassium	84132	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
PT/INR Finger Stick	85610	HCPCS	300	RC		both	92		Fee Schedule	89.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	88.32				Other	39.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	62.56		Some services are zero paid.		39.67	89.24	
SARS-CoV2-Flu-RSV	0241U	HCPCS	300	RC		both	720		Fee Schedule	698.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	691.2				Other	310.46		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	489.6		Some services are zero paid.		310.46	698.4	
MRSA by Nasal Screen	87641	HCPCS	300	RC		both	119		Fee Schedule	115.43		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	114.24				Other	51.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	80.92		Some services are zero paid.		51.31	115.43	
Calcium	82310	HCPCS	300	RC		both	80		Fee Schedule	77.6		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	76.8				Other	34.5		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	54.4		Some services are zero paid.		34.5	77.6	
Magnesium	83735	HCPCS	300	RC		both	112		Fee Schedule	108.64		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	107.52				Other	48.29		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	76.16		Some services are zero paid.		48.29	108.64	
Phosphorus	84100	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
Fasting Glucose	82947	HCPCS	300	RC		both	90		Fee Schedule	87.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	86.4				Other	38.81		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	61.2		Some services are zero paid.		38.81	87.3	
"Glucose, Quantitative"	82947	HCPCS	300	RC		both	90		Fee Schedule	87.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	86.4				Other	38.81		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	61.2		Some services are zero paid.		38.81	87.3	
Total Protein	84155	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
Albumin	82040	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
Bilirubin Total	82247	HCPCS	300	RC		both	101		Fee Schedule	97.97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	96.96				Other	43.55		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	68.68		Some services are zero paid.		43.55	97.97	
Bilirubin Direct	82248	HCPCS	300	RC		both	77		Fee Schedule	74.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	73.92				Other	33.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	52.36		Some services are zero paid.		33.2	74.69	
Creatinine	82565	HCPCS	300	RC		both	83		Fee Schedule	80.51		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	79.68				Other	35.79		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	56.44		Some services are zero paid.		35.79	80.51	
BUN; Blood Urea Nitrogen	84520	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
Uric Acid	84550	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
Vancomycin	80202	HCPCS	300	RC		both	187		Fee Schedule	181.39		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	179.52				Other	80.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	127.16		Some services are zero paid.		80.63	181.39	
Neo-Natal Bilirubin	82247	HCPCS	300	RC		both	170		Fee Schedule	164.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	163.2				Other	73.3		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	115.6		Some services are zero paid.		73.3	164.9	
Gram Stain	87205	HCPCS	300	RC		both	72		Fee Schedule	69.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	69.12				Other	31.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	48.96		Some services are zero paid.		31.05	69.84	
Wet Mount	87210	HCPCS	300	RC		both	76		Fee Schedule	73.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72.96				Other	32.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51.68		Some services are zero paid.		32.77	73.72	
KOH Tissue Exam	87220	HCPCS	300	RC		both	100		Fee Schedule	97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	96				Other	43.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	68		Some services are zero paid.		43.12	97	
Urinalysis	81001	HCPCS	300	RC		both	86		Fee Schedule	83.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	82.56				Other	37.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	58.48		Some services are zero paid.		37.08	83.42	
Iron Binding Capacity	83550	HCPCS	300	RC		both	106		Fee Schedule	102.82		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	101.76				Other	45.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	72.08		Some services are zero paid.		45.71	102.82	
Carbon Dioxide	82374	HCPCS	300	RC		both	46		Fee Schedule	44.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	44.16				Other	19.84		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.28		Some services are zero paid.		19.84	44.62	
CBC; Complete Blood Count	85025	HCPCS	300	RC		both	153		Fee Schedule	148.41		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	146.88				Other	65.97		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	104.04		Some services are zero paid.		65.97	148.41	
WBC; White Blood Count	85048	HCPCS	300	RC		both	76		Fee Schedule	73.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72.96				Other	32.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51.68		Some services are zero paid.		32.77	73.72	
Hemoglobin	85018	HCPCS	300	RC		both	70		Fee Schedule	67.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	67.2				Other	30.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	47.6		Some services are zero paid.		30.18	67.9	
Hematocrit	85014	HCPCS	300	RC		both	70		Fee Schedule	67.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	67.2				Other	30.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	47.6		Some services are zero paid.		30.18	67.9	
PT/INR Blood Draw	85610	HCPCS	300	RC		both	92		Fee Schedule	89.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	88.32				Other	39.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	62.56		Some services are zero paid.		39.67	89.24	
PTT; Thromboplastin Time Partial	85730	HCPCS	300	RC		both	110		Fee Schedule	106.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	105.6				Other	47.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	74.8		Some services are zero paid.		47.43	106.7	
Mono Screening	86308	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
CRP; C-Reactive Protein	86140	HCPCS	300	RC		both	91		Fee Schedule	88.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	87.36				Other	39.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	61.88		Some services are zero paid.		39.24	88.27	
Cold Agglutinins	86157	HCPCS	300	RC		both	53		Fee Schedule	51.41		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	50.88				Other	22.85		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	36.04		Some services are zero paid.		22.85	51.41	
Platelet Count	85049	HCPCS	300	RC		both	83		Fee Schedule	80.51		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	79.68				Other	35.79		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	56.44		Some services are zero paid.		35.79	80.51	
Sed Rate	85651	HCPCS	300	RC		both	84		Fee Schedule	81.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	80.64				Other	36.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	57.12		Some services are zero paid.		36.22	81.48	
Arterial Blood Gases	82803	HCPCS	300	RC		both	309		Fee Schedule	299.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	296.64				Other	133.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	210.12		Some services are zero paid.		133.24	299.73	
Phlebotomy	99195	HCPCS	940	RC		both	279		Fee Schedule	270.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	267.84				Other	120.3		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	189.72		Some services are zero paid.		120.3	270.63	
PSA - Screening	G0103	HCPCS	300	RC		both	163		Fee Schedule	158.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	156.48				Other	70.29		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	110.84		Some services are zero paid.		70.29	158.11	
ABO Blood Group	86900	HCPCS	300	RC		both	88		Fee Schedule	85.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	84.48				Other	37.95		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	59.84		Some services are zero paid.		37.95	85.36	
RH Type Group	86901	HCPCS	300	RC		both	64		Fee Schedule	62.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	61.44				Other	27.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	43.52		Some services are zero paid.		27.6	62.08	
Crossmatch	86920	HCPCS	300	RC		both	224		Fee Schedule	217.28		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	215.04				Other	96.59		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	152.32		Some services are zero paid.		96.59	217.28	
Antibody Screen	86850	HCPCS	300	RC		both	111		Fee Schedule	107.67		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	106.56				Other	47.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	75.48		Some services are zero paid.		47.86	107.67	
Direct Coombs	86880	HCPCS	300	RC		both	79		Fee Schedule	76.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	75.84				Other	34.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.72		Some services are zero paid.		34.06	76.63	
Packed Red Blood Cell Charge	P9016	HCPCS	390	RC		both	598		Fee Schedule	580.06		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	574.08				Other	257.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	406.64		Some services are zero paid.		257.86	580.06	
Digoxin Total	80162	HCPCS	300	RC		both	158		Fee Schedule	153.26		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	151.68				Other	68.13		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	107.44		Some services are zero paid.		68.13	153.26	
Troponin	84484	HCPCS	300	RC		both	204		Fee Schedule	197.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	195.84				Other	87.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	138.72		Some services are zero paid.		87.96	197.88	
Ferritin	82728	HCPCS	300	RC		both	191		Fee Schedule	185.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	183.36				Other	82.36		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	129.88		Some services are zero paid.		82.36	185.27	
Lipase	83690	HCPCS	300	RC		both	188		Fee Schedule	182.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	180.48				Other	81.07		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	127.84		Some services are zero paid.		81.07	182.36	
TSH; Thyroid Stimulating Hormone	84443	HCPCS	300	RC		both	194		Fee Schedule	188.18		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	186.24				Other	83.65		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	131.92		Some services are zero paid.		83.65	188.18	
Vitamin B-12	82607	HCPCS	300	RC		both	180		Fee Schedule	174.6		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	172.8				Other	77.62		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	122.4		Some services are zero paid.		77.62	174.6	
"Occult Blood, Fecal; Screening"	82270	HCPCS	300	RC		both	67		Fee Schedule	64.99		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	64.32				Other	28.89		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	45.56		Some services are zero paid.		28.89	64.99	
Cholesterol	82465	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
HDL; High Density Cholesterol	83718	HCPCS	300	RC		both	110		Fee Schedule	106.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	105.6				Other	47.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	74.8		Some services are zero paid.		47.43	106.7	
FT4; Thyroxine Free	84439	HCPCS	300	RC		both	116		Fee Schedule	112.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	111.36				Other	50.02		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	78.88		Some services are zero paid.		50.02	112.52	
Calcium Ionized	82330	HCPCS	300	RC		both	171		Fee Schedule	165.87		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	164.16				Other	73.74		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	116.28		Some services are zero paid.		73.74	165.87	
Triglycerides	84478	HCPCS	300	RC		both	119		Fee Schedule	115.43		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	114.24				Other	51.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	80.92		Some services are zero paid.		51.31	115.43	
Basic Metabolic Panel	80048	HCPCS	300	RC		both	151		Fee Schedule	146.47		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	144.96				Other	65.11		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	102.68		Some services are zero paid.		65.11	146.47	
Platelet Concentrate	P9019	HCPCS	390	RC		both	1273		Fee Schedule	1234.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1222.08				Other	548.92		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	865.64		Some services are zero paid.		548.92	1234.81	
HCG Screen Qualitative	84703	HCPCS	300	RC		both	146		Fee Schedule	141.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	140.16				Other	62.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	99.28		Some services are zero paid.		62.96	141.62	
HCG Titer Quantitative	84702	HCPCS	300	RC		both	228		Fee Schedule	221.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	218.88				Other	98.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	155.04		Some services are zero paid.		98.31	221.16	
Clostridium Toxin	86318	HCPCS	300	RC		both	210		Fee Schedule	203.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	201.6				Other	90.55		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	142.8		Some services are zero paid.		90.55	203.7	
D-Dimer Screen	85378	HCPCS	300	RC		both	211		Fee Schedule	204.67		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	202.56				Other	90.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	143.48		Some services are zero paid.		90.98	204.67	
Folic Acid	82746	HCPCS	300	RC		both	171		Fee Schedule	165.87		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	164.16				Other	73.74		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	116.28		Some services are zero paid.		73.74	165.87	
PH Body Fluid	83986	HCPCS	300	RC		both	140		Fee Schedule	135.8		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	134.4				Other	60.37		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	95.2		Some services are zero paid.		60.37	135.8	
Hepatic Function Panel	80076	HCPCS	300	RC		both	152		Fee Schedule	147.44		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	145.92				Other	65.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	103.36		Some services are zero paid.		65.54	147.44	
PSA - Diagnostic	84153	HCPCS	300	RC		both	186		Fee Schedule	180.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	178.56				Other	80.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	126.48		Some services are zero paid.		80.2	180.42	
Lipid II Panel	80061	HCPCS	300	RC		both	201		Fee Schedule	194.97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	192.96				Other	86.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	136.68		Some services are zero paid.		86.67	194.97	
Iron	83540	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
Hemogram	85027	HCPCS	300	RC		both	102		Fee Schedule	98.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	97.92				Other	43.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	69.36		Some services are zero paid.		43.98	98.94	
WBC; White Blood Count Differential	85007	HCPCS	300	RC		both	98		Fee Schedule	95.06		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	94.08				Other	42.26		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	66.64		Some services are zero paid.		42.26	95.06	
Comprehensive Metabolic Panel	80053	HCPCS	300	RC		both	186		Fee Schedule	180.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	178.56				Other	80.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	126.48		Some services are zero paid.		80.2	180.42	
RSV; Respiratory Syncytial Virus	87807	HCPCS	300	RC		both	114		Fee Schedule	110.58		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	109.44				Other	49.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	77.52		Some services are zero paid.		49.16	110.58	
Hgb A1c	83036	HCPCS	300	RC		both	112		Fee Schedule	108.64		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	107.52				Other	48.29		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	76.16		Some services are zero paid.		48.29	108.64	
Microalbumin Random Urine	82043	HCPCS	300	RC		both	271		Fee Schedule	262.87		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	260.16				Other	116.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	184.28		Some services are zero paid.		116.86	262.87	
Electrolyte Panel	80051	HCPCS	300	RC		both	158		Fee Schedule	153.26		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	151.68				Other	68.13		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	107.44		Some services are zero paid.		68.13	153.26	
Renal Function Panel	80069	HCPCS	300	RC		both	164		Fee Schedule	159.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	157.44				Other	70.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	111.52		Some services are zero paid.		70.72	159.08	
Natriuretic Peptide	83880	HCPCS	300	RC		both	319		Fee Schedule	309.43		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	306.24				Other	137.55		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	216.92		Some services are zero paid.		137.55	309.43	
SureStep Glucose	82962	HCPCS	300	RC		both	70		Fee Schedule	67.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	67.2				Other	30.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	47.6		Some services are zero paid.		30.18	67.9	
Surgical Pathology Level IV	88305	HCPCS	310	RC		both	383		Fee Schedule	371.51		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	367.68				Other	69.74		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	260.44		Some services are zero paid.		69.74	371.51	
Surgical Pathology Level II	88302	HCPCS	310	RC		both	250		Fee Schedule	242.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	240				Other	32.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	170		Some services are zero paid.		32.22	242.5	
Immunohistochemistry; Each Antibody	88342	HCPCS	310	RC		both	427		Fee Schedule	414.19		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	409.92				Other	103.33		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	290.36		Some services are zero paid.		103.33	414.19	
Surgical Pathology Level III	88304	HCPCS	310	RC		both	300		Fee Schedule	291		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	288				Other	41.68		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	204		Some services are zero paid.		41.68	291	
Surgical Pathology Level V	88307	HCPCS	310	RC		both	714		Fee Schedule	692.58		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	685.44				Other	280.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	485.52		Some services are zero paid.		280.44	692.58	
Cytopathology; Except Cervical/Vaginal	88112	HCPCS	310	RC		both	317		Fee Schedule	307.49		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	304.32				Other	66.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	215.56		Some services are zero paid.		66.15	307.49	
"Morphometric Analysis, Tumor Immunohisto"	88360	HCPCS	310	RC		both	561		Fee Schedule	544.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	538.56				Other	117.36		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	381.48		Some services are zero paid.		117.36	544.17	
Decalcification Procedure	88311	HCPCS	310	RC		both	120		Fee Schedule	116.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	115.2				Other	19.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	81.6		Some services are zero paid.		19.49	116.4	
Creatinine; Other Source	82570	HCPCS	300	RC		both	96		Fee Schedule	93.12		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	92.16				Other	41.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	65.28		Some services are zero paid.		41.4	93.12	
Total Protein; Urine	84156	HCPCS	300	RC		both	89		Fee Schedule	86.33		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	85.44				Other	38.38		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	60.52		Some services are zero paid.		38.38	86.33	
Surgical Pathology; Level VI	88309	HCPCS	310	RC		both	808		Fee Schedule	783.76		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	775.68				Other	421.62		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	549.44		Some services are zero paid.		421.62	783.76	
Surgical Pathology; Level I	88300	HCPCS	310	RC		both	190		Fee Schedule	184.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	182.4				Other	15.58		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	129.2		Some services are zero paid.		15.58	184.3	
"Cytopathology, Concentration Technique"	88108	HCPCS	310	RC		both	262		Fee Schedule	254.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	251.52				Other	66.8		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	178.16		Some services are zero paid.		66.8	254.14	
Lactic Acid	83605	HCPCS	300	RC		both	175		Fee Schedule	169.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	168				Other	75.46		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	119		Some services are zero paid.		75.46	169.75	
Drug Screen Collection Only	300	RC				outpatient	25		Fee Schedule	24.25		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	24				Other	10.78		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	17		Some services are zero paid.		10.78	24.25	
Blood Alcohol	80320	HCPCS	300	RC		both	104		Fee Schedule	100.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	99.84				Other	44.84		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	70.72		Some services are zero paid.		44.84	100.88	
iFOB; Immunochemical Fecal Occult Blood	82274	HCPCS	300	RC		both	102		Fee Schedule	98.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	97.92				Other	43.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	69.36		Some services are zero paid.		43.98	98.94	
Salicylate Level	80307	HCPCS	300	RC		both	126		Fee Schedule	122.22		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	120.96				Other	54.33		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	85.68		Some services are zero paid.		54.33	122.22	
General Health Panel	80050	HCPCS	300	RC		both	533		Fee Schedule	517.01		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	511.68				Other	229.83		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	362.44		Some services are zero paid.		229.83	517.01	
Fern Test; Wet Mount	87210	HCPCS	300	RC		both	97		Fee Schedule	94.09		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	93.12				Other	41.83		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	65.96		Some services are zero paid.		41.83	94.09	
Special Stain; All Other Group II	88313	HCPCS	310	RC		both	169		Fee Schedule	163.93		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	162.24				Other	80.82		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	114.92		Some services are zero paid.		80.82	163.93	
"Cytopathology, Cervical/Vaginal"	88141	HCPCS	310	RC		both	91		Fee Schedule	88.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	87.36				Other	23.28		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	61.88		Some services are zero paid.		23.28	88.27	
Vitamin D 25 Hydroxy	82306	HCPCS	300	RC		both	328		Fee Schedule	318.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	314.88				Other	141.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	223.04		Some services are zero paid.		141.43	318.16	
Morphometric Analysis Each Multiplex Sta	88377	HCPCS	310	RC		both	1033		Fee Schedule	1002.01		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	991.68				Other	386.09		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	702.44		Some services are zero paid.		386.09	1002.01	
Acetaminophen (Tylenol)	80143	HCPCS	300	RC		both	249		Fee Schedule	241.53		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	239.04				Other	107.37		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	169.32		Some services are zero paid.		107.37	241.53	
Bacterial Culture Except Blood	87075	HCPCS	300	RC		both	84		Fee Schedule	81.48		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	80.64				Other	36.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	57.12		Some services are zero paid.		36.22	81.48	
Vitamin B 12 (BLOD0604)	82607	HCPCS	300	RC		both	117		Fee Schedule	113.49		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	112.32				Other	50.45		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	79.56		Some services are zero paid.		50.45	113.49	
"Ova and Parasites, Direct Smears"	87177	HCPCS	300	RC		both	51		Fee Schedule	49.47		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	48.96				Other	21.99		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	34.68		Some services are zero paid.		21.99	49.47	
"Ova and Parasites, Complex Special Stain"	87209	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Hepatitis C Antibody (BLOD0678)	86803	HCPCS	300	RC		both	133		Fee Schedule	129.01		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	127.68				Other	57.35		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	90.44		Some services are zero paid.		57.35	129.01	
Fungal Mold ID (LABS0214)	87107	HCPCS	300	RC		both	77		Fee Schedule	74.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	73.92				Other	33.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	52.36		Some services are zero paid.		33.2	74.69	
CA 125 Ovarian Cancer (BLOD0608)	86304	HCPCS	300	RC		both	255		Fee Schedule	247.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	244.8				Other	109.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	173.4		Some services are zero paid.		109.96	247.35	
Reticulocyte Count (BLOD0660)	85045	HCPCS	300	RC		both	63		Fee Schedule	61.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	60.48				Other	27.17		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.84		Some services are zero paid.		27.17	61.11	
Vitamin D 25 Hydroxy (BLOD0409)	82306	HCPCS	300	RC		both	275		Fee Schedule	266.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	264				Other	118.58		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	187		Some services are zero paid.		118.58	266.75	
Bacterial Culture-Other (MICR0003)	87070	HCPCS	300	RC		both	44		Fee Schedule	42.68		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	42.24				Other	18.97		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	29.92		Some services are zero paid.		18.97	42.68	
Organism Culture ID (LABS0215)	87147	HCPCS	300	RC		both	50		Fee Schedule	48.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	48				Other	21.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	34		Some services are zero paid.		21.56	48.5	
MIC Sensitivity (LABS0218)	87186	HCPCS	300	RC		both	55		Fee Schedule	53.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	52.8				Other	23.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	37.4		Some services are zero paid.		23.72	53.35	
Trileptal Oxcarbazepine (BLOD0053)	83789	HCPCS	300	RC		both	154		Fee Schedule	149.38		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	147.84				Other	66.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	104.72		Some services are zero paid.		66.4	149.38	
Topiramate Topamax (BLOD0033)	80201	HCPCS	300	RC		both	103		Fee Schedule	99.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	98.88				Other	44.41		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	70.04		Some services are zero paid.		44.41	99.91	
LDL Cholesterol Direct (BLOD0781)	83721	HCPCS	300	RC		both	120		Fee Schedule	116.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	115.2				Other	51.74		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	81.6		Some services are zero paid.		51.74	116.4	
Protein Total 24 Hour Urine (NBLD0153)	84156	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Creatinine 24 Hour Urine (NBLD0327)	82570	HCPCS	300	RC		both	62		Fee Schedule	60.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.52				Other	26.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.16		Some services are zero paid.		26.73	60.14	
Parathormone-Parathyroid Hormone	83970	HCPCS	300	RC		both	175		Fee Schedule	169.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	168				Other	75.46		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	119		Some services are zero paid.		75.46	169.75	
Calcium; Total	82310	HCPCS	300	RC		both	26		Fee Schedule	25.22		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	24.96				Other	11.21		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	17.68		Some services are zero paid.		11.21	25.22	
Folic Acid Serum (BLOD0605)	82746	HCPCS	300	RC		both	154		Fee Schedule	149.38		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	147.84				Other	66.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	104.72		Some services are zero paid.		66.4	149.38	
Bacterial Culture Blood (BLOD0990)	87040	HCPCS	300	RC		both	97		Fee Schedule	94.09		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	93.12				Other	41.83		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	65.96		Some services are zero paid.		41.83	94.09	
Mysoline (Primidone) Only (BLOD0031)	80188	HCPCS	300	RC		both	152		Fee Schedule	147.44		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	145.92				Other	65.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	103.36		Some services are zero paid.		65.54	147.44	
Phenobarbital (BLOD0538)	80184	HCPCS	300	RC		both	160		Fee Schedule	155.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	153.6				Other	68.99		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	108.8		Some services are zero paid.		68.99	155.2	
Organism ID-Aerobic Isolate (LABS0215)	87077	HCPCS	300	RC		both	50		Fee Schedule	48.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	48				Other	21.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	34		Some services are zero paid.		21.56	48.5	
Bacterial Culture Respiratory (MICR0001)	87070	HCPCS	300	RC		both	36		Fee Schedule	34.92		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	34.56				Other	15.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	24.48		Some services are zero paid.		15.52	34.92	
Susceptibility-E Test (LABS0218)	87181	HCPCS	300	RC		both	61		Fee Schedule	59.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	58.56				Other	26.3		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	41.48		Some services are zero paid.		26.3	59.17	
Organism ID-Beta Lactamase (LABS0215)	87185	HCPCS	300	RC		both	50		Fee Schedule	48.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	48				Other	21.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	34		Some services are zero paid.		21.56	48.5	
Anti Nuclear Antibody Screen (BLOD0773)	86038	HCPCS	300	RC		both	80		Fee Schedule	77.6		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	76.8				Other	34.5		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	54.4		Some services are zero paid.		34.5	77.6	
Anti Nuclear Antibodies Titer (BLOD0774)	86039	HCPCS	300	RC		both	79		Fee Schedule	76.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	75.84				Other	34.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.72		Some services are zero paid.		34.06	76.63	
"Culture Bacterial, Anaerobe (MICR0009)"	87075	HCPCS	300	RC		both	80		Fee Schedule	77.6		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	76.8				Other	34.5		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	54.4		Some services are zero paid.		34.5	77.6	
Protein Electrophoresis (BLOD0784)	84165	HCPCS	300	RC		both	86		Fee Schedule	83.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	82.56				Other	37.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	58.48		Some services are zero paid.		37.08	83.42	
C-Peptide (BLOD0221)	84681	HCPCS	300	RC		both	328		Fee Schedule	318.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	314.88				Other	141.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	223.04		Some services are zero paid.		141.43	318.16	
"Gammaglobulin (Immunoglobulin), Each"	82784	HCPCS	300	RC		both	57		Fee Schedule	55.29		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	54.72				Other	24.58		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	38.76		Some services are zero paid.		24.58	55.29	
"HIV 1/HIV 2, Single Result (BLOD0676)"	87389	HCPCS	300	RC		both	106		Fee Schedule	102.82		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	101.76				Other	45.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	72.08		Some services are zero paid.		45.71	102.82	
Rubella Screen IgG (BLOD0337)	86762	HCPCS	300	RC		both	91		Fee Schedule	88.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	87.36				Other	39.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	61.88		Some services are zero paid.		39.24	88.27	
Rubella Screen IgG (BLOD0584)	86762	HCPCS	300	RC		both	71		Fee Schedule	68.87		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	68.16				Other	30.62		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	48.28		Some services are zero paid.		30.62	68.87	
Mumps Screen IgG (BLOD0133)	86735	HCPCS	300	RC		both	127		Fee Schedule	123.19		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	121.92				Other	54.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	86.36		Some services are zero paid.		54.76	123.19	
Rubeola IgG Antibody (BLOD0135)	86765	HCPCS	300	RC		both	121		Fee Schedule	117.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	116.16				Other	52.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	82.28		Some services are zero paid.		52.18	117.37	
Ammonia (BLOD0551)	82140	HCPCS	300	RC		both	192		Fee Schedule	186.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	184.32				Other	82.79		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	130.56		Some services are zero paid.		82.79	186.24	
"Amino Acid, Quantitative (BLOD0796)"	82139	HCPCS	300	RC		both	947		Fee Schedule	918.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	909.12				Other	408.35		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	643.96		Some services are zero paid.		408.35	918.59	
Transferrin	84466	HCPCS	300	RC		both	113		Fee Schedule	109.61		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	108.48				Other	48.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	76.84		Some services are zero paid.		48.73	109.61	
Prolactin (BLOD0593)	84146	HCPCS	300	RC		both	156		Fee Schedule	151.32		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	149.76				Other	67.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	106.08		Some services are zero paid.		67.27	151.32	
Fungal Culture (MICR0023)	87102	HCPCS	300	RC		both	76		Fee Schedule	73.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72.96				Other	32.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51.68		Some services are zero paid.		32.77	73.72	
Thyroglobulin	84432	HCPCS	300	RC		both	145		Fee Schedule	140.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	139.2				Other	62.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	98.6		Some services are zero paid.		62.52	140.65	
Thyroglobulin Antibody	86800	HCPCS	300	RC		both	145		Fee Schedule	140.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	139.2				Other	62.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	98.6		Some services are zero paid.		62.52	140.65	
Isoenzymes	84080	HCPCS	300	RC		both	152		Fee Schedule	147.44		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	145.92				Other	65.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	103.36		Some services are zero paid.		65.54	147.44	
"Phosphatase, Alkaline"	84075	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
"Fungal Clt; Skin, Hair, Nails (MICR0022)"	87101	HCPCS	300	RC		both	76		Fee Schedule	73.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72.96				Other	32.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51.68		Some services are zero paid.		32.77	73.72	
"Microsomal Antibodies, Each"	86376	HCPCS	300	RC		both	156		Fee Schedule	151.32		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	149.76				Other	67.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	106.08		Some services are zero paid.		67.27	151.32	
T3 Total (BLOD0599)	84480	HCPCS	300	RC		both	127		Fee Schedule	123.19		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	121.92				Other	54.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	86.36		Some services are zero paid.		54.76	123.19	
Progesterone (BLOD0592)	84144	HCPCS	300	RC		both	133		Fee Schedule	129.01		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	127.68				Other	57.35		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	90.44		Some services are zero paid.		57.35	129.01	
Coccidioides Antibody Serum (BLOD0317)	86635	HCPCS	300	RC		both	170		Fee Schedule	164.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	163.2				Other	73.3		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	115.6		Some services are zero paid.		73.3	164.9	
Tacrolimus (BLOD0681)	80197	HCPCS	300	RC		both	304		Fee Schedule	294.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	291.84				Other	131.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	206.72		Some services are zero paid.		131.08	294.88	
Cardiolipin Antibody IgG (BLOD0298)	86147	HCPCS	300	RC		both	177		Fee Schedule	171.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	169.92				Other	76.32		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	120.36		Some services are zero paid.		76.32	171.69	
Protein C Functional (BLOD0224)	85303	HCPCS	300	RC		both	338		Fee Schedule	327.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	324.48				Other	145.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	229.84		Some services are zero paid.		145.75	327.86	
Protein S Functional (BLOD0226)	85306	HCPCS	300	RC		both	358		Fee Schedule	347.26		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	343.68				Other	154.37		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	243.44		Some services are zero paid.		154.37	347.26	
Anti Thrombin III Functional (BLOD0663)	85300	HCPCS	300	RC		both	272		Fee Schedule	263.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	261.12				Other	117.29		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	184.96		Some services are zero paid.		117.29	263.84	
Stone Analysis (NBLD0125)	82365	HCPCS	300	RC		both	145		Fee Schedule	140.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	139.2				Other	62.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	98.6		Some services are zero paid.		62.52	140.65	
Joint Fluid Crystal Exam (NBLD0210)	89060	HCPCS	300	RC		both	76		Fee Schedule	73.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72.96				Other	32.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51.68		Some services are zero paid.		32.77	73.72	
Joint Fluid Cell Count & Diff (NBLD0203)	89051	HCPCS	300	RC		both	46		Fee Schedule	44.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	44.16				Other	19.84		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.28		Some services are zero paid.		19.84	44.62	
"Extractable Nuclea Antigen, Each"	86235	HCPCS	300	RC		both	104		Fee Schedule	100.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	99.84				Other	44.84		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	70.72		Some services are zero paid.		44.84	100.88	
RA Factor Qualitative (BLOD0626)	86430	HCPCS	300	RC		both	69		Fee Schedule	66.93		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	66.24				Other	29.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	46.92		Some services are zero paid.		29.75	66.93	
"Thromboplastin Time, PTT, Fract (APA)"	85732	HCPCS	300	RC		both	114		Fee Schedule	110.58		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	109.44				Other	49.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	77.52		Some services are zero paid.		49.16	110.58	
Vitamin (Vitamin E)	84591	HCPCS	300	RC		both	103		Fee Schedule	99.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	98.88				Other	44.41		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	70.04		Some services are zero paid.		44.41	99.91	
Vitamin K Plasma (BLOD0219)	84597	HCPCS	300	RC		both	464		Fee Schedule	450.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	445.44				Other	200.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	315.52		Some services are zero paid.		200.08	450.08	
Zinc Plasma (BLOD0220)	84630	HCPCS	300	RC		both	133		Fee Schedule	129.01		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	127.68				Other	57.35		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	90.44		Some services are zero paid.		57.35	129.01	
Vitamin A Retinol	84590	HCPCS	300	RC		both	231		Fee Schedule	224.07		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	221.76				Other	99.61		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	157.08		Some services are zero paid.		99.61	224.07	
Vitamin C-Ascorbic Acid (BLOD0091)	82180	HCPCS	300	RC		both	219		Fee Schedule	212.43		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	210.24				Other	94.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	148.92		Some services are zero paid.		94.43	212.43	
Amylase Body Fluid (NBLD0168)	82150	HCPCS	300	RC		both	66		Fee Schedule	64.02		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	63.36				Other	28.46		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	44.88		Some services are zero paid.		28.46	64.02	
Glucose Body Fluid (NBLD0173)	82945	HCPCS	300	RC		both	100		Fee Schedule	97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	96				Other	43.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	68		Some services are zero paid.		43.12	97	
Osmolality-Urine (NBLD0190)	83935	HCPCS	300	RC		both	73		Fee Schedule	70.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	70.08				Other	31.48		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	49.64		Some services are zero paid.		31.48	70.81	
Sodium 24 Hour Urine (NBLD0182)	84300	HCPCS	300	RC		both	41		Fee Schedule	39.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	39.36				Other	17.68		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	27.88		Some services are zero paid.		17.68	39.77	
Osmolality-Serum (NBLD0617)	83930	HCPCS	300	RC		both	70		Fee Schedule	67.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	67.2				Other	30.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	47.6		Some services are zero paid.		30.18	67.9	
PSA-Total	84153	HCPCS	300	RC		both	92		Fee Schedule	89.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	88.32				Other	39.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	62.56		Some services are zero paid.		39.67	89.24	
PSA-Free	84154	HCPCS	300	RC		both	92		Fee Schedule	89.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	88.32				Other	39.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	62.56		Some services are zero paid.		39.67	89.24	
Fetal Fibronectin Assay (NBLD0296)	82731	HCPCS	300	RC		both	393		Fee Schedule	381.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	377.28				Other	169.46		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	267.24		Some services are zero paid.		169.46	381.21	
Allergen- Tree Elm American (BLOD0726)	86003	HCPCS	300	RC		both	72		Fee Schedule	69.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	69.12				Other	31.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	48.96		Some services are zero paid.		31.05	69.84	
Follicle Stimulating Horm-FSH (BLOD0590)	83001	HCPCS	300	RC		both	143		Fee Schedule	138.71		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	137.28				Other	61.66		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	97.24		Some services are zero paid.		61.66	138.71	
Aldolase (BLOD0147)	82085	HCPCS	300	RC		both	118		Fee Schedule	114.46		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	113.28				Other	50.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	80.24		Some services are zero paid.		50.88	114.46	
Haptoglobulin (BLOD0616)	83010	HCPCS	300	RC		both	104		Fee Schedule	100.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	99.84				Other	44.84		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	70.72		Some services are zero paid.		44.84	100.88	
IgG Serum (BLOD0614)	82784	HCPCS	300	RC		both	87		Fee Schedule	84.39		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	83.52				Other	37.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	59.16		Some services are zero paid.		37.51	84.39	
Syphilis Serology (BLOD0647)	86592	HCPCS	300	RC		both	60		Fee Schedule	58.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	57.6				Other	25.87		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	40.8		Some services are zero paid.		25.87	58.2	
Giardia Antigen (NBLD0225)	87329	HCPCS	300	RC		both	113		Fee Schedule	109.61		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	108.48				Other	48.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	76.84		Some services are zero paid.		48.73	109.61	
Levetiracetam Keppra (BLOD0045)	80177	HCPCS	300	RC		both	216		Fee Schedule	209.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	207.36				Other	93.14		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	146.88		Some services are zero paid.		93.14	209.52	
Angiotensin Converting Enzyme (BLOD0154)	82164	HCPCS	300	RC		both	182		Fee Schedule	176.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	174.72				Other	78.48		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	123.76		Some services are zero paid.		78.48	176.54	
Helicobacter pylori Anti-Stool(NBLD0141)	87338	HCPCS	300	RC		both	230		Fee Schedule	223.1		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	220.8				Other	99.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	156.4		Some services are zero paid.		99.18	223.1	
Luteinizing Hormone (BLOD0591)	83002	HCPCS	300	RC		both	140		Fee Schedule	135.8		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	134.4				Other	60.37		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	95.2		Some services are zero paid.		60.37	135.8	
Amitriptyline-Elavil (BLOD0384)	80335	HCPCS	300	RC		both	119		Fee Schedule	115.43		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	114.24				Other	51.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	80.92		Some services are zero paid.		51.31	115.43	
Anti DNA Double Standed Anti (BLOD0775)	86225	HCPCS	300	RC		both	124		Fee Schedule	120.28		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	119.04				Other	53.47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	84.32		Some services are zero paid.		53.47	120.28	
T4 Total (BLOD0595)	84436	HCPCS	300	RC		both	79		Fee Schedule	76.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	75.84				Other	34.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.72		Some services are zero paid.		34.06	76.63	
Cyclic Citrullinated Peptide (BLOD0096)	86200	HCPCS	300	RC		both	176		Fee Schedule	170.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	168.96				Other	75.89		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	119.68		Some services are zero paid.		75.89	170.72	
Rotavirus	87425	HCPCS	300	RC		both	188		Fee Schedule	182.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	180.48				Other	81.07		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	127.84		Some services are zero paid.		81.07	182.36	
Testosterone Total (BLOD0606)	84403	HCPCS	300	RC		both	392		Fee Schedule	380.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	376.32				Other	169.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	266.56		Some services are zero paid.		169.03	380.24	
Mycoplasma Antibody IgM (BLOD0689)	86738	HCPCS	300	RC		both	106		Fee Schedule	102.82		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	101.76				Other	45.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	72.08		Some services are zero paid.		45.71	102.82	
Hepatitis A Total Antibody (BLOD0330)	86708	HCPCS	300	RC		both	155		Fee Schedule	150.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	148.8				Other	66.84		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	105.4		Some services are zero paid.		66.84	150.35	
Hepatitis B Core Total Anti (BLOD0677)	86704	HCPCS	300	RC		both	86		Fee Schedule	83.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	82.56				Other	37.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	58.48		Some services are zero paid.		37.08	83.42	
Copper 24 Hour Urine (NBLD0059)	82525	HCPCS	300	RC		both	168		Fee Schedule	162.96		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	161.28				Other	72.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	114.24		Some services are zero paid.		72.44	162.96	
Glutamic Acid Decarboxylase (BLOD0524)	83519	HCPCS	300	RC		both	197		Fee Schedule	191.09		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	189.12				Other	84.95		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	133.96		Some services are zero paid.		84.95	191.09	
Cortisol Total 4 p.m. Sample (BLOD0582)	82533	HCPCS	300	RC		both	102		Fee Schedule	98.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	97.92				Other	43.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	69.36		Some services are zero paid.		43.98	98.94	
CA 27.29 Breast Cancer (BLOD0603)	86300	HCPCS	300	RC		both	232		Fee Schedule	225.04		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	222.72				Other	100.04		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	157.76		Some services are zero paid.		100.04	225.04	
Neurontin-Gabapentin (BLOD0391)	80171	HCPCS	300	RC		both	138		Fee Schedule	133.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	132.48				Other	59.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	93.84		Some services are zero paid.		59.51	133.86	
AFP Tumor Marker (BLOD0586)	82105	HCPCS	300	RC		both	146		Fee Schedule	141.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	140.16				Other	62.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	99.28		Some services are zero paid.		62.96	141.62	
HCG Tumor Marker (BLOD0602)	84702	HCPCS	300	RC		both	136		Fee Schedule	131.92		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	130.56				Other	58.64		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	92.48		Some services are zero paid.		58.64	131.92	
CEA-Carcinoembryonic Antigen (BLOD0587)	82378	HCPCS	300	RC		both	163		Fee Schedule	158.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	156.48				Other	70.29		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	110.84		Some services are zero paid.		70.29	158.11	
Rheumatoid Factor Quantitative (BLOD0627	86431	HCPCS	300	RC		both	66		Fee Schedule	64.02		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	63.36				Other	28.46		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	44.88		Some services are zero paid.		28.46	64.02	
Aspergillus Antibody (Fungus Panel 1)	86606	HCPCS	300	RC		both	62		Fee Schedule	60.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.52				Other	26.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.16		Some services are zero paid.		26.73	60.14	
Blastomyces Anitbody (Fungus Panel 1)	86612	HCPCS	300	RC		both	62		Fee Schedule	60.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.52				Other	26.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.16		Some services are zero paid.		26.73	60.14	
Coccidioides Antibody (Fungus Panel 1)	86635	HCPCS	300	RC		both	62		Fee Schedule	60.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.52				Other	26.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.16		Some services are zero paid.		26.73	60.14	
Histoplasma Antibody (Fungus Panel 1)	86698	HCPCS	300	RC		both	62		Fee Schedule	60.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.52				Other	26.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.16		Some services are zero paid.		26.73	60.14	
CA 19-9 Pancreatic Cancer (BLOD0312)	86301	HCPCS	300	RC		both	254		Fee Schedule	246.38		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	243.84				Other	109.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	172.72		Some services are zero paid.		109.52	246.38	
Antibody Identification (BLOD0922)	86870	HCPCS	300	RC		both	463		Fee Schedule	449.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	444.48				Other	199.65		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	314.84		Some services are zero paid.		199.65	449.11	
Lithium (BLOD0537)	80178	HCPCS	300	RC		both	68		Fee Schedule	65.96		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	65.28				Other	29.32		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	46.24		Some services are zero paid.		29.32	65.96	
Hepatitis B Surface Antibody (BLOD0005)	86706	HCPCS	300	RC		both	86		Fee Schedule	83.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	82.56				Other	37.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	58.48		Some services are zero paid.		37.08	83.42	
Cryptosporidia/Cyclospora (NBLD0221)	87206	HCPCS	300	RC		both	162		Fee Schedule	157.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	155.52				Other	69.85		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	110.16		Some services are zero paid.		69.85	157.14	
Acute Hepatitis Panel (BLOD0783)	80074	HCPCS	300	RC		both	404		Fee Schedule	391.88		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	387.84				Other	174.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	274.72		Some services are zero paid.		174.2	391.88	
Gentamicin Trough (BLOD0536)	80170	HCPCS	300	RC		both	96		Fee Schedule	93.12		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	92.16				Other	41.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	65.28		Some services are zero paid.		41.4	93.12	
Clozapine (BLOD0468)	80159	HCPCS	300	RC		both	197		Fee Schedule	191.09		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	189.12				Other	84.95		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	133.96		Some services are zero paid.		84.95	191.09	
Body Fluid Cell Count & Diff (NBLD0205)	89051	HCPCS	300	RC		both	79		Fee Schedule	76.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	75.84				Other	34.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.72		Some services are zero paid.		34.06	76.63	
Lactic Dehydrogenase Body Fld (NBLD0175)	83615	HCPCS	300	RC		both	65		Fee Schedule	63.05		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	62.4				Other	28.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	44.2		Some services are zero paid.		28.03	63.05	
ACTH High Sensitive Plasma (BLOD0146)	82024	HCPCS	300	RC		both	416		Fee Schedule	403.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	399.36				Other	179.38		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	282.88		Some services are zero paid.		179.38	403.52	
IgA Serum (BLOD0613)	82784	HCPCS	300	RC		both	87		Fee Schedule	84.39		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	83.52				Other	37.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	59.16		Some services are zero paid.		37.51	84.39	
Anti DNA Double Stranded (ENA 3)	86225	HCPCS	300	RC		both	124		Fee Schedule	120.28		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	119.04				Other	53.47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	84.32		Some services are zero paid.		53.47	120.28	
Lamotrigine (BLOD0406)	80175	HCPCS	300	RC		both	138		Fee Schedule	133.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	132.48				Other	59.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	93.84		Some services are zero paid.		59.51	133.86	
Potassium 24 Hour Urine (NBLD0177)	84133	HCPCS	300	RC		both	60		Fee Schedule	58.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	57.6				Other	25.87		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	40.8		Some services are zero paid.		25.87	58.2	
Toxoplasma IgG	86777	HCPCS	300	RC		both	187		Fee Schedule	181.39		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	179.52				Other	80.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	127.16		Some services are zero paid.		80.63	181.39	
Toxoplasma IgM	86778	HCPCS	300	RC		both	187		Fee Schedule	181.39		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	179.52				Other	80.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	127.16		Some services are zero paid.		80.63	181.39	
CMV IgG	86644	HCPCS	300	RC		both	69		Fee Schedule	66.93		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	66.24				Other	29.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	46.92		Some services are zero paid.		29.75	66.93	
CMV IgM	86645	HCPCS	300	RC		both	69		Fee Schedule	66.93		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	66.24				Other	29.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	46.92		Some services are zero paid.		29.75	66.93	
"Herpes Virus, Each"	86790	HCPCS	300	RC		both	121		Fee Schedule	117.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	116.16				Other	52.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	82.28		Some services are zero paid.		52.18	117.37	
Hemoglobin Electrophoresis	83020	HCPCS	300	RC		both	114		Fee Schedule	110.58		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	109.44				Other	49.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	77.52		Some services are zero paid.		49.16	110.58	
Hemoglobin Chromatography	83021	HCPCS	300	RC		both	114		Fee Schedule	110.58		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	109.44				Other	49.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	77.52		Some services are zero paid.		49.16	110.58	
Fetal Bleed Screen (BLOD0978)	85461	HCPCS	300	RC		both	83		Fee Schedule	80.51		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	79.68				Other	35.79		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	56.44		Some services are zero paid.		35.79	80.51	
Fibrogen Quant Funct Assay (BLOD0666)	85384	HCPCS	300	RC		both	115		Fee Schedule	111.55		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	110.4				Other	49.59		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	78.2		Some services are zero paid.		49.59	111.55	
PTH Intact Only (BLOD0983)	83970	HCPCS	300	RC		both	195		Fee Schedule	189.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	187.2				Other	84.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	132.6		Some services are zero paid.		84.08	189.15	
Protein Electrophoretic	84166	HCPCS	300	RC		both	109		Fee Schedule	105.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	104.64				Other	47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	74.12		Some services are zero paid.		47	105.73	
Immunofixation Electrophoresis	86335	HCPCS	300	RC		both	109		Fee Schedule	105.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	104.64				Other	47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	74.12		Some services are zero paid.		47	105.73	
Estrogen Serum Total (BLOD0470)	82672	HCPCS	300	RC		both	273		Fee Schedule	264.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	262.08				Other	117.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	185.64		Some services are zero paid.		117.72	264.81	
"Antibody ID, ANCA Screen, Each"	86021	HCPCS	300	RC		both	324		Fee Schedule	314.28		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	311.04				Other	139.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	220.32		Some services are zero paid.		139.71	314.28	
Mitchondrial Antibodies (BLOD0309)	86255	HCPCS	300	RC		both	167		Fee Schedule	161.99		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	160.32				Other	72.01		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	113.56		Some services are zero paid.		72.01	161.99	
Pinworm Examination (NBLD0220)	87172	HCPCS	300	RC		both	65		Fee Schedule	63.05		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	62.4				Other	28.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	44.2		Some services are zero paid.		28.03	63.05	
Complement C4 (BLOD0624)	86160	HCPCS	300	RC		both	82		Fee Schedule	79.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	78.72				Other	35.36		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	55.76		Some services are zero paid.		35.36	79.54	
Varicella Zoster IgG	86787	HCPCS	300	RC		both	160		Fee Schedule	155.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	153.6				Other	68.99		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	108.8		Some services are zero paid.		68.99	155.2	
Varicella Zoster IgM	86787	HCPCS	300	RC		both	160		Fee Schedule	155.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	153.6				Other	68.99		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	108.8		Some services are zero paid.		68.99	155.2	
Fecal Fat Screen (NBLD0138)	82705	HCPCS	300	RC		both	79		Fee Schedule	76.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	75.84				Other	34.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.72		Some services are zero paid.		34.06	76.63	
"Herpes Simplex, Type 1 IgG"	86695	HCPCS	300	RC		both	87		Fee Schedule	84.39		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	83.52				Other	37.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	59.16		Some services are zero paid.		37.51	84.39	
"Herpes Simplex, Type 2 IgG"	86696	HCPCS	300	RC		both	99		Fee Schedule	96.03		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	95.04				Other	42.69		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	67.32		Some services are zero paid.		42.69	96.03	
Herpes Simplex IgM Antibody (BLOD0325)	86694	HCPCS	300	RC		both	147		Fee Schedule	142.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	141.12				Other	63.39		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	99.96		Some services are zero paid.		63.39	142.59	
Sex Hormone Binding Globulin (BLOD0207)	84270	HCPCS	300	RC		both	135		Fee Schedule	130.95		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	129.6				Other	58.21		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	91.8		Some services are zero paid.		58.21	130.95	
Anaerobic ID (LABS0217)	87076	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Urine ID (LABS0215)	87088	HCPCS	300	RC		both	50		Fee Schedule	48.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	48				Other	21.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	34		Some services are zero paid.		21.56	48.5	
Susceptibilty Sdy-Kirby Bauer (LABS0218)	87184	HCPCS	300	RC		both	70		Fee Schedule	67.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	67.2				Other	30.18		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	47.6		Some services are zero paid.		30.18	67.9	
Kleihauer-Betke (BLOD0667)	85460	HCPCS	300	RC		both	100		Fee Schedule	97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	96				Other	43.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	68		Some services are zero paid.		43.12	97	
Acid Fast Culture (MICR0019)	87116	HCPCS	300	RC		both	76		Fee Schedule	73.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72.96				Other	32.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51.68		Some services are zero paid.		32.77	73.72	
Red Cell Antigen (LABS0195)	86905	HCPCS	300	RC		both	172		Fee Schedule	166.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	165.12				Other	74.17		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	116.96		Some services are zero paid.		74.17	166.84	
Bile Acids (BLOD1047)	82239	HCPCS	300	RC		both	106		Fee Schedule	102.82		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	101.76				Other	45.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	72.08		Some services are zero paid.		45.71	102.82	
Prealbumin (BLOD0618)	84134	HCPCS	300	RC		both	97		Fee Schedule	94.09		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	93.12				Other	41.83		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	65.96		Some services are zero paid.		41.83	94.09	
DHEA Sulfate (BLOD0469)	82627	HCPCS	300	RC		both	292		Fee Schedule	283.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	280.32				Other	125.91		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	198.56		Some services are zero paid.		125.91	283.24	
Insulin Level (BLOD0190)	83525	HCPCS	300	RC		both	128		Fee Schedule	124.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	122.88				Other	55.19		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	87.04		Some services are zero paid.		55.19	124.16	
Homocysteine (BLOD0579)	83090	HCPCS	300	RC		both	267		Fee Schedule	258.99		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	256.32				Other	115.13		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	181.56		Some services are zero paid.		115.13	258.99	
"Cardiolipin Antibodies, Each"	86147	HCPCS	300	RC		both	122		Fee Schedule	118.34		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	117.12				Other	52.61		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	82.96		Some services are zero paid.		52.61	118.34	
Factor 8 Activity Assay (BLOD0661)	85240	HCPCS	300	RC		both	287		Fee Schedule	278.39		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	275.52				Other	123.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	195.16		Some services are zero paid.		123.75	278.39	
Zarontin (BLOD0025)	80168	HCPCS	300	RC		both	102		Fee Schedule	98.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	97.92				Other	43.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	69.36		Some services are zero paid.		43.98	98.94	
Somatomedin C (BLOD0209)	84305	HCPCS	300	RC		both	290		Fee Schedule	281.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	278.4				Other	125.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	197.2		Some services are zero paid.		125.05	281.3	
Potassium Random Urine (NBLD0158)	84133	HCPCS	300	RC		both	61		Fee Schedule	59.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	58.56				Other	26.3		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	41.48		Some services are zero paid.		26.3	59.17	
Hepatitis B Surface Antigen (BLOD0679)	87340	HCPCS	300	RC		both	76		Fee Schedule	73.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72.96				Other	32.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51.68		Some services are zero paid.		32.77	73.72	
Cortisol Total Serum 8 a.m.  (BLOD0583)	82533	HCPCS	300	RC		both	102		Fee Schedule	98.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	97.92				Other	43.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	69.36		Some services are zero paid.		43.98	98.94	
Creatinine Random Urine (NBLD0172)	82570	HCPCS	300	RC		both	62		Fee Schedule	60.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.52				Other	26.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.16		Some services are zero paid.		26.73	60.14	
"Reducing Substances, Fecal (NBLD0192)"	84376	HCPCS	300	RC		both	98		Fee Schedule	95.06		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	94.08				Other	42.26		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	66.64		Some services are zero paid.		42.26	95.06	
Monotest (BLOD0625)	86308	HCPCS	300	RC		both	43		Fee Schedule	41.71		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	41.28				Other	18.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	29.24		Some services are zero paid.		18.54	41.71	
FTA Antibody (BLOD0495)	86780	HCPCS	300	RC		both	92		Fee Schedule	89.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	88.32				Other	39.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	62.56		Some services are zero paid.		39.67	89.24	
ASO Titer (BLOD0620)	86060	HCPCS	300	RC		both	88		Fee Schedule	85.36		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	84.48				Other	37.95		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	59.84		Some services are zero paid.		37.95	85.36	
HLA B27 Antigen (BLOD0339)	86812	HCPCS	300	RC		both	254		Fee Schedule	246.38		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	243.84				Other	109.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	172.72		Some services are zero paid.		109.52	246.38	
"Nephelometry, Each Analyte"	83883	HCPCS	300	RC		both	160		Fee Schedule	155.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	153.6				Other	68.99		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	108.8		Some services are zero paid.		68.99	155.2	
Varicella zoster Virus Scr (BLOD0682)	86787	HCPCS	300	RC		both	90		Fee Schedule	87.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	86.4				Other	38.81		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	61.2		Some services are zero paid.		38.81	87.3	
"Fungal Culture, Yeast (LABS0214)"	87106	HCPCS	300	RC		both	100		Fee Schedule	97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	96				Other	43.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	68		Some services are zero paid.		43.12	97	
Donor Unit Irradiation	86945	HCPCS	300	RC		both	125		Fee Schedule	121.25		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	120				Other	53.9		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	85		Some services are zero paid.		53.9	121.25	
"Phophyrins, Random Urine (NBLD0079)"	84120	HCPCS	300	RC		both	209		Fee Schedule	202.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	200.64				Other	90.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	142.12		Some services are zero paid.		90.12	202.73	
T3 Reverse (BLOD0215)	84482	HCPCS	300	RC		both	433		Fee Schedule	420.01		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	415.68				Other	186.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	294.44		Some services are zero paid.		186.71	420.01	
Concentration Acid Fast (MICR0019)	87015	HCPCS	300	RC		both	64		Fee Schedule	62.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	61.44				Other	27.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	43.52		Some services are zero paid.		27.6	62.08	
T3 Free (BLOD0600)	84481	HCPCS	300	RC		both	173		Fee Schedule	167.81		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	166.08				Other	74.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	117.64		Some services are zero paid.		74.6	167.81	
Thyroid Peroxidase Antibodies (BLOD0315)	86376	HCPCS	300	RC		both	156		Fee Schedule	151.32		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	149.76				Other	67.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	106.08		Some services are zero paid.		67.27	151.32	
Fluorescent Noninfectious Agent Antibody	86255	HCPCS	300	RC		both	62		Fee Schedule	60.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.52				Other	26.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.16		Some services are zero paid.		26.73	60.14	
Immunoassay for Analyte; Each	83516	HCPCS	300	RC		both	63		Fee Schedule	61.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	60.48				Other	27.17		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.84		Some services are zero paid.		27.17	61.11	
"Gammaglobulin, Each"	82784	HCPCS	300	RC		both	62		Fee Schedule	60.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.52				Other	26.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.16		Some services are zero paid.		26.73	60.14	
Metanephrines Free (BLOD0101)	83835	HCPCS	300	RC		both	211		Fee Schedule	204.67		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	202.56				Other	90.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	143.48		Some services are zero paid.		90.98	204.67	
Acid Fast Bacilli Stain (MICR0014)	87206	HCPCS	300	RC		both	162		Fee Schedule	157.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	155.52				Other	69.85		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	110.16		Some services are zero paid.		69.85	157.14	
Quantiferon Gold TB Test (BLOD1145)	86480	HCPCS	300	RC		both	316		Fee Schedule	306.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	303.36				Other	136.26		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	214.88		Some services are zero paid.		136.26	306.52	
Protein; Electrophoretic Frac. & Quant	84165	HCPCS	300	RC		both	86		Fee Schedule	83.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	82.56				Other	37.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	58.48		Some services are zero paid.		37.08	83.42	
"Complement; Antigen, Each"	86160	HCPCS	300	RC		both	82		Fee Schedule	79.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	78.72				Other	35.36		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	55.76		Some services are zero paid.		35.36	79.54	
Gram Stain (MICR0008)	87205	HCPCS	300	RC		both	59		Fee Schedule	57.23		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	56.64				Other	25.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	40.12		Some services are zero paid.		25.44	57.23	
5-HIAA (NBLD0067)	83497	HCPCS	300	RC		both	167		Fee Schedule	161.99		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	160.32				Other	72.01		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	113.56		Some services are zero paid.		72.01	161.99	
C1 Esterase Inhibitor Fnc. (BLOD0303)	86161	HCPCS	300	RC		both	148		Fee Schedule	143.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	142.08				Other	63.82		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	100.64		Some services are zero paid.		63.82	143.56	
Protein Electrophoresis Urine (NBLD0268)	84166	HCPCS	300	RC		both	76		Fee Schedule	73.72		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72.96				Other	32.77		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51.68		Some services are zero paid.		32.77	73.72	
Vitamin B1 Thiamine (BLOD0477)	84425	HCPCS	300	RC		both	191		Fee Schedule	185.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	183.36				Other	82.36		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	129.88		Some services are zero paid.		82.36	185.27	
"West Nile Virus, IgG"	86789	HCPCS	300	RC		both	91		Fee Schedule	88.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	87.36				Other	39.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	61.88		Some services are zero paid.		39.24	88.27	
"West Nile Virus, IgM"	86788	HCPCS	300	RC		both	74		Fee Schedule	71.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	71.04				Other	31.91		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	50.32		Some services are zero paid.		31.91	71.78	
Ceruloplasmin (BLOD0162)	82390	HCPCS	300	RC		both	125		Fee Schedule	121.25		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	120				Other	53.9		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	85		Some services are zero paid.		53.9	121.25	
Valproic Acid Total (BLOD0533)	80164	HCPCS	300	RC		both	106		Fee Schedule	102.82		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	101.76				Other	45.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	72.08		Some services are zero paid.		45.71	102.82	
IgE Total Serum (BLOD0693)	82785	HCPCS	300	RC		both	120		Fee Schedule	116.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	115.2				Other	51.74		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	81.6		Some services are zero paid.		51.74	116.4	
Endomysial IgA Antibodies (BLOD0481)	86255	HCPCS	300	RC		both	91		Fee Schedule	88.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	87.36				Other	39.24		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	61.88		Some services are zero paid.		39.24	88.27	
Mycoplasma Antibody IgM	86738	HCPCS	300	RC		both	106		Fee Schedule	102.82		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	101.76				Other	45.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	72.08		Some services are zero paid.		45.71	102.82	
Mycoplasma Antibody IgG	86738	HCPCS	300	RC		both	106		Fee Schedule	102.82		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	101.76				Other	45.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	72.08		Some services are zero paid.		45.71	102.82	
Malaria Smears (BLOD0851)	87207	HCPCS	300	RC		both	87		Fee Schedule	84.39		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	83.52				Other	37.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	59.16		Some services are zero paid.		37.51	84.39	
Estradiol E2 Serum Total (BLOD0588)	82670	HCPCS	300	RC		both	171		Fee Schedule	165.87		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	164.16				Other	73.74		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	116.28		Some services are zero paid.		73.74	165.87	
Glomerular Basement Membrane (BLOD0187)	83520	HCPCS	300	RC		both	139		Fee Schedule	134.83		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	133.44				Other	59.94		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	94.52		Some services are zero paid.		59.94	134.83	
Hepatitis C Virus RNA Quant (BLOD0343)	87522	HCPCS	300	RC		both	579		Fee Schedule	561.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	555.84				Other	249.66		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	393.72		Some services are zero paid.		249.66	561.63	
Allergy Food 1-Clam	86003	HCPCS	300	RC		both	21		Fee Schedule	20.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	20.16				Other	9.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	14.28		Some services are zero paid.		9.06	20.37	
Allergy Food 1-Codfish	86003	HCPCS	300	RC		both	21		Fee Schedule	20.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	20.16				Other	9.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	14.28		Some services are zero paid.		9.06	20.37	
Allergy Food 1-Corn	86003	HCPCS	300	RC		both	21		Fee Schedule	20.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	20.16				Other	9.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	14.28		Some services are zero paid.		9.06	20.37	
Allergy Food 1-Egg White	86003	HCPCS	300	RC		both	21		Fee Schedule	20.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	20.16				Other	9.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	14.28		Some services are zero paid.		9.06	20.37	
Allergy Food 1-Milk	86003	HCPCS	300	RC		both	21		Fee Schedule	20.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	20.16				Other	9.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	14.28		Some services are zero paid.		9.06	20.37	
Allergy Food 1-Peanut	86003	HCPCS	300	RC		both	21		Fee Schedule	20.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	20.16				Other	9.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	14.28		Some services are zero paid.		9.06	20.37	
Allergy Food 1-Scallop	86003	HCPCS	300	RC		both	21		Fee Schedule	20.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	20.16				Other	9.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	14.28		Some services are zero paid.		9.06	20.37	
Allergy Food 1-Seasame Seed	86003	HCPCS	300	RC		both	21		Fee Schedule	20.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	20.16				Other	9.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	14.28		Some services are zero paid.		9.06	20.37	
Allergy Food 1-Shrimp	86003	HCPCS	300	RC		both	21		Fee Schedule	20.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	20.16				Other	9.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	14.28		Some services are zero paid.		9.06	20.37	
Allergy Food 1-Soybean	86003	HCPCS	300	RC		both	21		Fee Schedule	20.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	20.16				Other	9.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	14.28		Some services are zero paid.		9.06	20.37	
Allergy Food 1-Walnut Food	86003	HCPCS	300	RC		both	21		Fee Schedule	20.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	20.16				Other	9.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	14.28		Some services are zero paid.		9.06	20.37	
Allergy Food 1-Wheat	86003	HCPCS	300	RC		both	21		Fee Schedule	20.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	20.16				Other	9.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	14.28		Some services are zero paid.		9.06	20.37	
Allergy Food 1-IgE	82785	HCPCS	300	RC		both	31		Fee Schedule	30.07		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	29.76				Other	13.37		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	21.08		Some services are zero paid.		13.37	30.07	
Glucose-6-Phos. Dehydrogenase (BLOD0178)	82955	HCPCS	300	RC		both	165		Fee Schedule	160.05		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	158.4				Other	71.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	112.2		Some services are zero paid.		71.15	160.05	
Hepatitis B Core Reflex IgM (BLOD0649)	86704	HCPCS	300	RC		both	86		Fee Schedule	83.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	82.56				Other	37.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	58.48		Some services are zero paid.		37.08	83.42	
Hepatitis C Genotype (BLOD0139)	87902	HCPCS	300	RC		both	839		Fee Schedule	813.83		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	805.44				Other	361.78		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	570.52		Some services are zero paid.		361.78	813.83	
Copper Serum or Plasma (BLOD0165)	82525	HCPCS	300	RC		both	168		Fee Schedule	162.96		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	161.28				Other	72.44		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	114.24		Some services are zero paid.		72.44	162.96	
Metanephrines Fractionated (NBLD0073)	83835	HCPCS	300	RC		both	470		Fee Schedule	455.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	451.2				Other	202.66		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	319.6		Some services are zero paid.		202.66	455.9	
Citrate	82507	HCPCS	300	RC		both	108		Fee Schedule	104.76		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	103.68				Other	46.57		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	73.44		Some services are zero paid.		46.57	104.76	
Creatine; Other Source	82570	HCPCS	300	RC		both	62		Fee Schedule	60.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.52				Other	26.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.16		Some services are zero paid.		26.73	60.14	
Calcium 24-Hour Urine (NBLD0164)	82340	HCPCS	300	RC		both	86		Fee Schedule	83.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	82.56				Other	37.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	58.48		Some services are zero paid.		37.08	83.42	
Oxalate 24-Hour Urine (NBLD0076)	83945	HCPCS	300	RC		both	150		Fee Schedule	145.5		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	144				Other	64.68		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	102		Some services are zero paid.		64.68	145.5	
Uric Acid 24-Hour Urine (NBLD0259)	84560	HCPCS	300	RC		both	57		Fee Schedule	55.29		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	54.72				Other	24.58		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	38.76		Some services are zero paid.		24.58	55.29	
LDH Isoenzymes	83625	HCPCS	300	RC		both	62		Fee Schedule	60.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.52				Other	26.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.16		Some services are zero paid.		26.73	60.14	
LDH	83615	HCPCS	300	RC		both	65		Fee Schedule	63.05		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	62.4				Other	28.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	44.2		Some services are zero paid.		28.03	63.05	
CPK Isoenzymes (BLOD0353)	82552	HCPCS	300	RC		both	109		Fee Schedule	105.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	104.64				Other	47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	74.12		Some services are zero paid.		47	105.73	
Cortisol Saliva (NBLD0036)	82533	HCPCS	300	RC		both	308		Fee Schedule	298.76		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	295.68				Other	132.81		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	209.44		Some services are zero paid.		132.81	298.76	
Parvovirus IgG	86747	HCPCS	300	RC		both	102		Fee Schedule	98.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	97.92				Other	43.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	69.36		Some services are zero paid.		43.98	98.94	
Parvovirus IgM	86747	HCPCS	300	RC		both	102		Fee Schedule	98.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	97.92				Other	43.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	69.36		Some services are zero paid.		43.98	98.94	
Chromogranin A Serum (BLOD0126)	86316	HCPCS	300	RC		both	295		Fee Schedule	286.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	283.2				Other	127.2		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	200.6		Some services are zero paid.		127.2	286.15	
Rh Type (BLOD0920)	86901	HCPCS	300	RC		both	62		Fee Schedule	60.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.52				Other	26.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.16		Some services are zero paid.		26.73	60.14	
Cortisol Free 24-Hour Urine (NBLD0061)	82530	HCPCS	300	RC		both	235		Fee Schedule	227.95		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	225.6				Other	101.33		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	159.8		Some services are zero paid.		101.33	227.95	
Renin Activity Plasma (BLOD0499)	84244	HCPCS	300	RC		both	221		Fee Schedule	214.37		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	212.16				Other	95.3		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	150.28		Some services are zero paid.		95.3	214.37	
CD4 Count (BLOD0646)	86361	HCPCS	300	RC		both	214		Fee Schedule	207.58		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	205.44				Other	92.28		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	145.52		Some services are zero paid.		92.28	207.58	
Vitamin B6 (BLOD0204)	84207	HCPCS	300	RC		both	393		Fee Schedule	381.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	377.28				Other	169.46		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	267.24		Some services are zero paid.		169.46	381.21	
Sodium Random Urine (NBLD0159)	84300	HCPCS	300	RC		both	41		Fee Schedule	39.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	39.36				Other	17.68		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	27.88		Some services are zero paid.		17.68	39.77	
Coccidioides IgG	86635	HCPCS	300	RC		both	109		Fee Schedule	105.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	104.64				Other	47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	74.12		Some services are zero paid.		47	105.73	
Coccidioides IgM	86635	HCPCS	300	RC		both	109		Fee Schedule	105.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	104.64				Other	47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	74.12		Some services are zero paid.		47	105.73	
Comprehensive Metabolic Panel (BLOD0530)	80053	HCPCS	300	RC		both	165		Fee Schedule	160.05		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	158.4				Other	71.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	112.2		Some services are zero paid.		71.15	160.05	
PSA Screen (BLOD1124)	G0103	HCPCS	300	RC		both	146		Fee Schedule	141.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	140.16				Other	62.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	99.28		Some services are zero paid.		62.96	141.62	
Protein Total Body Fluid (NBLD0181)	84157	HCPCS	300	RC		both	63		Fee Schedule	61.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	60.48				Other	27.17		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.84		Some services are zero paid.		27.17	61.11	
Specific Gravity Body Fluid (NBLD0215)	84315	HCPCS	300	RC		both	58		Fee Schedule	56.26		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	55.68				Other	25.01		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	39.44		Some services are zero paid.		25.01	56.26	
Hepatitis A IgM Antibody (BLOD0581)	86709	HCPCS	300	RC		both	93		Fee Schedule	90.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	89.28				Other	40.1		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	63.24		Some services are zero paid.		40.1	90.21	
Anti-Jo-1 (BLOD0306)	86235	HCPCS	300	RC		both	249		Fee Schedule	241.53		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	239.04				Other	107.37		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	169.32		Some services are zero paid.		107.37	241.53	
Sickle Cell Screen (BLOD0671)	85660	HCPCS	300	RC		both	93		Fee Schedule	90.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	89.28				Other	40.1		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	63.24		Some services are zero paid.		40.1	90.21	
Flow Cytometry; First Marker (LBOR0009)	88184	HCPCS	300	RC		both	145		Fee Schedule	140.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	139.2				Other	75.93		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	98.6		Some services are zero paid.		75.93	140.65	
Flow Cytometry; Each AddItional Mark	88185	HCPCS	300	RC		both	900		Fee Schedule	873		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	864				Other	23.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	612		Some services are zero paid.		23.16	873	
Thyroglobulin Antibodies (BLOD0413)	86800	HCPCS	300	RC		both	157		Fee Schedule	152.29		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	150.72				Other	67.7		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	106.76		Some services are zero paid.		67.7	152.29	
Complement C3 (BLOD0623)	86160	HCPCS	300	RC		both	82		Fee Schedule	79.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	78.72				Other	35.36		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	55.76		Some services are zero paid.		35.36	79.54	
CK (CPK) MB (BLOD0557)	82553	HCPCS	300	RC		both	131		Fee Schedule	127.07		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	125.76				Other	56.49		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	89.08		Some services are zero paid.		56.49	127.07	
Aldosterone	82088	HCPCS	300	RC		both	193		Fee Schedule	187.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	185.28				Other	83.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	131.24		Some services are zero paid.		83.22	187.21	
Renin	84244	HCPCS	300	RC		both	193		Fee Schedule	187.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	185.28				Other	83.22		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	131.24		Some services are zero paid.		83.22	187.21	
17 Alpha Hydroxyprogesterone (BLOD0183)	83498	HCPCS	300	RC		both	270		Fee Schedule	261.9		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	259.2				Other	116.42		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	183.6		Some services are zero paid.		116.42	261.9	
Anti-Mullerian Hormone (BLOD1157)	83516	HCPCS	300	RC		both	144		Fee Schedule	139.68		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	138.24				Other	62.09		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	97.92		Some services are zero paid.		62.09	139.68	
pH Body Fluid (NBLD0204)	83986	HCPCS	300	RC		both	63		Fee Schedule	61.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	60.48				Other	27.17		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.84		Some services are zero paid.		27.17	61.11	
Free T4	84439	HCPCS	300	RC		both	64		Fee Schedule	62.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	61.44				Other	27.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	43.52		Some services are zero paid.		27.6	62.08	
Helicobacter pylori- Breath (NBLD0211)	83013	HCPCS	300	RC		both	316		Fee Schedule	306.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	303.36				Other	136.26		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	214.88		Some services are zero paid.		136.26	306.52	
Sperm Count Post Vasectomy (NBLD0332)	89321	HCPCS	300	RC		both	64		Fee Schedule	62.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	61.44				Other	27.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	43.52		Some services are zero paid.		27.6	62.08	
Allergen Dog Dander (BLOD0723)	86003	HCPCS	300	RC		both	72		Fee Schedule	69.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	69.12				Other	31.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	48.96		Some services are zero paid.		31.05	69.84	
Epstein Barr IgG Antibody	86665	HCPCS	300	RC		both	125		Fee Schedule	121.25		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	120				Other	53.9		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	85		Some services are zero paid.		53.9	121.25	
Epstein Barr IgM Antibody	86665	HCPCS	300	RC		both	125		Fee Schedule	121.25		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	120				Other	53.9		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	85		Some services are zero paid.		53.9	121.25	
Proteinase 3 Antibody (BLOD0295)	83516	HCPCS	300	RC		both	135		Fee Schedule	130.95		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	129.6				Other	58.21		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	91.8		Some services are zero paid.		58.21	130.95	
Catecholamines Fract 24hr Ur. (NBLD0056)	82384	HCPCS	300	RC		both	320		Fee Schedule	310.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	307.2				Other	137.98		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	217.6		Some services are zero paid.		137.98	310.4	
IgM Serum (BLOD0615)	82784	HCPCS	300	RC		both	87		Fee Schedule	84.39		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	83.52				Other	37.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	59.16		Some services are zero paid.		37.51	84.39	
Gliadin Peptide IgG/IgA (BLOD1109)	83516	HCPCS	300	RC		both	92		Fee Schedule	89.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	88.32				Other	39.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	62.56		Some services are zero paid.		39.67	89.24	
Growth Hormone (BLOD0179)	83003	HCPCS	300	RC		both	143		Fee Schedule	138.71		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	137.28				Other	61.66		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	97.24		Some services are zero paid.		61.66	138.71	
Beta 2 Microglobulin Serum (BLOD0158)	82232	HCPCS	300	RC		both	194		Fee Schedule	188.18		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	186.24				Other	83.65		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	131.92		Some services are zero paid.		83.65	188.18	
Gentamicin Peak (BLOD0534)	80170	HCPCS	300	RC		both	96		Fee Schedule	93.12		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	92.16				Other	41.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	65.28		Some services are zero paid.		41.4	93.12	
Dilantin Free Unbound (BLOD0030)	80186	HCPCS	300	RC		both	126		Fee Schedule	122.22		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	120.96				Other	54.33		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	85.68		Some services are zero paid.		54.33	122.22	
Epstein Barr Virus IgM (BLOD0687)	86665	HCPCS	300	RC		both	130		Fee Schedule	126.1		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	124.8				Other	56.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	88.4		Some services are zero paid.		56.06	126.1	
GGTP (BLOD0561)	82977	HCPCS	300	RC		both	80		Fee Schedule	77.6		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	76.8				Other	34.5		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	54.4		Some services are zero paid.		34.5	77.6	
Acetylcholine Receptor Binding Antibody	83519	HCPCS	300	RC		both	216		Fee Schedule	209.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	207.36				Other	93.14		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	146.88		Some services are zero paid.		93.14	209.52	
Anti-Striated Muscle Antibody	86255	HCPCS	300	RC		both	216		Fee Schedule	209.52		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	207.36				Other	93.14		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	146.88		Some services are zero paid.		93.14	209.52	
Phenytoin; Free	80186	HCPCS	300	RC		both	72		Fee Schedule	69.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	69.12				Other	31.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	48.96		Some services are zero paid.		31.05	69.84	
Phenytoin; Total	80185	HCPCS	300	RC		both	72		Fee Schedule	69.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	69.12				Other	31.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	48.96		Some services are zero paid.		31.05	69.84	
Microalbumin; Urine	82043	HCPCS	300	RC		both	146		Fee Schedule	141.62		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	140.16				Other	62.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	99.28		Some services are zero paid.		62.96	141.62	
Creatinine; Other	82570	HCPCS	300	RC		both	62		Fee Schedule	60.14		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	59.52				Other	26.73		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.16		Some services are zero paid.		26.73	60.14	
Prothrombin G20210A Gene Mut (BLOD0364)	81240	HCPCS	300	RC		both	632		Fee Schedule	613.04		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	606.72				Other	272.52		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	429.76		Some services are zero paid.		272.52	613.04	
Factor 5 Leiden Mutation Ana. (BLOD0379)	81241	HCPCS	300	RC		both	638		Fee Schedule	618.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	612.48				Other	275.11		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	433.84		Some services are zero paid.		275.11	618.86	
Protein; Urine	84156	HCPCS	300	RC		both	68		Fee Schedule	65.96		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	65.28				Other	29.32		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	46.24		Some services are zero paid.		29.32	65.96	
Electrophoretic Fractionation & Quant	84166	HCPCS	300	RC		both	68		Fee Schedule	65.96		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	65.28				Other	29.32		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	46.24		Some services are zero paid.		29.32	65.96	
Hepatitis C Virus (BLOD1200)	86803	HCPCS	300	RC		both	105		Fee Schedule	101.85		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	100.8				Other	45.28		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	71.4		Some services are zero paid.		45.28	101.85	
Pancreatic Elastase 1 Fecal (NBLD0137)	82653	HCPCS	300	RC		both	377		Fee Schedule	365.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	361.92				Other	162.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	256.36		Some services are zero paid.		162.56	365.69	
Amikacin Trough (BLOD0016)	80150	HCPCS	300	RC		both	99		Fee Schedule	96.03		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	95.04				Other	42.69		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	67.32		Some services are zero paid.		42.69	96.03	
Amikacin Peak (BLOD0015)	80150	HCPCS	300	RC		both	99		Fee Schedule	96.03		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	95.04				Other	42.69		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	67.32		Some services are zero paid.		42.69	96.03	
"Beta-CrossLaps, Serum (BLOD1127)"	82523	HCPCS	300	RC		both	265		Fee Schedule	257.05		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	254.4				Other	114.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	180.2		Some services are zero paid.		114.27	257.05	
"Virus Isolation, Tissue Culture, Each"	87253	HCPCS	300	RC		both	39		Fee Schedule	37.83		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	37.44				Other	16.82		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	26.52		Some services are zero paid.		16.82	37.83	
Acylcarnitine Profile (BLOD1341)	82017	HCPCS	300	RC		both	352		Fee Schedule	341.44		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	337.92				Other	151.78		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	239.36		Some services are zero paid.		151.78	341.44	
Carnitine Free and Total (BLOD0093)	82379	HCPCS	300	RC		both	227		Fee Schedule	220.19		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	217.92				Other	97.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	154.36		Some services are zero paid.		97.88	220.19	
Organic Acids Screen Urine (NBLD0041)	83919	HCPCS	300	RC		both	259		Fee Schedule	251.23		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	248.64				Other	111.68		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	176.12		Some services are zero paid.		111.68	251.23	
Carbon Monoxide Quant (BLOD0657)	82375	HCPCS	300	RC		both	106		Fee Schedule	102.82		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	101.76				Other	45.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	72.08		Some services are zero paid.		45.71	102.82	
Dilantin Total (BLOD0539)	80185	HCPCS	300	RC		both	100		Fee Schedule	97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	96				Other	43.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	68		Some services are zero paid.		43.12	97	
"Hepatitis B DNA, Quantitative (BLOD0341)"	87517	HCPCS	300	RC		both	377		Fee Schedule	365.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	361.92				Other	162.56		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	256.36		Some services are zero paid.		162.56	365.69	
Mycoplasma Antibody IgG (BLOD0688)	86738	HCPCS	300	RC		both	106		Fee Schedule	102.82		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	101.76				Other	45.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	72.08		Some services are zero paid.		45.71	102.82	
IGF Binding Protein -1 (BLOD1137)	83519	HCPCS	300	RC		both	227		Fee Schedule	220.19		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	217.92				Other	97.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	154.36		Some services are zero paid.		97.88	220.19	
BK Virus DNA Quant (BLOD0358)	87799	HCPCS	300	RC		both	732		Fee Schedule	710.04		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	702.72				Other	315.64		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	497.76		Some services are zero paid.		315.64	710.04	
PTH Related Protein (BLOD1041)	83519	HCPCS	300	RC		both	392		Fee Schedule	380.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	376.32				Other	169.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	266.56		Some services are zero paid.		169.03	380.24	
Zonisamide (BLOD0055)	80299	HCPCS	300	RC		both	243		Fee Schedule	235.71		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	233.28				Other	104.78		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	165.24		Some services are zero paid.		104.78	235.71	
Histoplasma Quant. Antigen (LBOR0013)	87385	HCPCS	300	RC		both	266		Fee Schedule	258.02		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	255.36				Other	114.7		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	180.88		Some services are zero paid.		114.7	258.02	
Cholesterol Body Fluid (NBLD0171)	84311	HCPCS	300	RC		both	38		Fee Schedule	36.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	36.48				Other	16.39		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	25.84		Some services are zero paid.		16.39	36.86	
Albumin Body Fluid (NBLD0154)	82042	HCPCS	300	RC		both	60		Fee Schedule	58.2		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	57.6				Other	25.87		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	40.8		Some services are zero paid.		25.87	58.2	
"Clotting, Factor VIII AHG 1-Stage"	85240	HCPCS	300	RC		both	332		Fee Schedule	322.04		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	318.72				Other	143.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	225.76		Some services are zero paid.		143.16	322.04	
"Clotting, Factor VW, Factor Antigen"	85246	HCPCS	300	RC		both	332		Fee Schedule	322.04		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	318.72				Other	143.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	225.76		Some services are zero paid.		143.16	322.04	
"Coagulation & Fibrinolysis, each analyte"	85397	HCPCS	300	RC		both	332		Fee Schedule	322.04		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	318.72				Other	143.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	225.76		Some services are zero paid.		143.16	322.04	
Anti-Scleroderma Antibody (BLOD0308)	86235	HCPCS	300	RC		both	210		Fee Schedule	203.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	201.6				Other	90.55		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	142.8		Some services are zero paid.		90.55	203.7	
"Coziella bunetti, each"	86638	HCPCS	300	RC		both	72		Fee Schedule	69.84		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	69.12				Other	31.05		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	48.96		Some services are zero paid.		31.05	69.84	
Thyrotropin Receptor Antibody BLOD0106	83520	HCPCS	300	RC		both	214		Fee Schedule	207.58		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	205.44				Other	92.28		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	145.52		Some services are zero paid.		92.28	207.58	
Factor 5 Activity Assay	85220	HCPCS	300	RC		both	271		Fee Schedule	262.87		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	260.16				Other	116.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	184.28		Some services are zero paid.		116.86	262.87	
Glycated Hemoglobin A1c (BLOD0629)	83036	HCPCS	300	RC		both	103		Fee Schedule	99.91		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	98.88				Other	44.41		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	70.04		Some services are zero paid.		44.41	99.91	
CMV DNA Detection & Quant.	87497	HCPCS	300	RC		both	507		Fee Schedule	491.79		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	486.72				Other	218.62		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	344.76		Some services are zero paid.		218.62	491.79	
Protein Electrophoresis Serum (BLOD1203)	84165	HCPCS	300	RC		both	90		Fee Schedule	87.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	86.4				Other	38.81		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	61.2		Some services are zero paid.		38.81	87.3	
Fecal Fat Quantitative (NBLD0037)	82710	HCPCS	300	RC		both	215		Fee Schedule	208.55		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	206.4				Other	92.71		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	146.2		Some services are zero paid.		92.71	208.55	
West Nile Virus Serum IgM (BLOD0772)	86788	HCPCS	300	RC		both	95		Fee Schedule	92.15		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	91.2				Other	40.96		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	64.6		Some services are zero paid.		40.96	92.15	
Proinsulin (BLOD0203)	84206	HCPCS	300	RC		both	420		Fee Schedule	407.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	403.2				Other	181.1		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	285.6		Some services are zero paid.		181.1	407.4	
Beta-Hydroxybutyrate Serum (BLOD0089)	82010	HCPCS	300	RC		both	78		Fee Schedule	75.66		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	74.88				Other	33.63		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.04		Some services are zero paid.		33.63	75.66	
"Cytopathology, Cervical/Vaginal"	88175	HCPCS	310	RC		both	90		Fee Schedule	87.3		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	86.4				Other	38.81		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	61.2		Some services are zero paid.		38.81	87.3	
Lyme Disease Antibody (BLOD0778)	86618	HCPCS	300	RC		both	165		Fee Schedule	160.05		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	158.4				Other	71.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	112.2		Some services are zero paid.		71.15	160.05	
Androstenedione (BLOD0153)	82157	HCPCS	300	RC		both	332		Fee Schedule	322.04		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	318.72				Other	143.16		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	225.76		Some services are zero paid.		143.16	322.04	
Vitamin B12 (BLOD0604)	82607	HCPCS	300	RC		both	107		Fee Schedule	103.79		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	102.72				Other	46.14		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	72.76		Some services are zero paid.		46.14	103.79	
Catecholamines Frac & Tot Plas (BLOD0161	82384	HCPCS	300	RC		both	336		Fee Schedule	325.92		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	322.56				Other	144.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	228.48		Some services are zero paid.		144.88	325.92	
Allergen-Egg White (BLOD0724)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen-Peanut	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Lacosamide (BLOD1191)	80299	HCPCS	300	RC		both	251		Fee Schedule	243.47		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	240.96				Other	108.23		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	170.68		Some services are zero paid.		108.23	243.47	
Tryptase Total (BLOD0189)	83520	HCPCS	300	RC		both	274		Fee Schedule	265.78		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	263.04				Other	118.15		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	186.32		Some services are zero paid.		118.15	265.78	
Parvovirus B-19 IgM (BLOD0430)	86747	HCPCS	300	RC		both	120		Fee Schedule	116.4		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	115.2				Other	51.74		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	81.6		Some services are zero paid.		51.74	116.4	
"Molecular Pathology, Level 4"	81403	HCPCS	310	RC		both	392		Fee Schedule	380.24		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	376.32				Other	169.03		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	266.56		Some services are zero paid.		169.03	380.24	
Allergen-Alternaria Alternata (BLOD0696)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen-Aspergillus Furnigatus BLOD0698	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen-Birch (BLOD0704)	86003	HCPCS	300	RC		both	55		Fee Schedule	53.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	52.8				Other	23.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	37.4		Some services are zero paid.		23.72	53.35	
Allergen-Cat Dander (BLOD0709)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen-Dermatophagoider Far. (BLOD0720	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen-Dermatophagoides Pter (BLOD0722	86003	HCPCS	300	RC		both	55		Fee Schedule	53.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	52.8				Other	23.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	37.4		Some services are zero paid.		23.72	53.35	
Allergen-Cladosporium Herbarum (BLOD0711	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen-Kentucky Blue Grass (BLOD0732)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen-Oak (BLOD0740)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen-Yellow Hornet (BLOD0286)	86003	HCPCS	300	RC		both	55		Fee Schedule	53.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	52.8				Other	23.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	37.4		Some services are zero paid.		23.72	53.35	
Allergen-White Faced Hornet (BLOD0282)	86003	HCPCS	300	RC		both	55		Fee Schedule	53.35		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	52.8				Other	23.72		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	37.4		Some services are zero paid.		23.72	53.35	
Allergen-Ragweed Common (BLOD0715)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen-Russion Thistle (BLOD0753)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen-Honeybee (BLOD0252)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen-Wasp (BLOD0263)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen Yellow Jacket (BLOD00287)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Methylmalonic Acid (BLOD0103)	83921	HCPCS	300	RC		both	310		Fee Schedule	300.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	297.6				Other	133.67		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	210.8		Some services are zero paid.		133.67	300.7	
"Infectious Agent; Amplified Probe, each"	87798	HCPCS	300	RC		both	99		Fee Schedule	96.03		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	95.04				Other	42.69		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	67.32		Some services are zero paid.		42.69	96.03	
Varicella Zoster Virus (NBLD0361)	87798	HCPCS	300	RC		both	333		Fee Schedule	323.01		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	319.68				Other	143.59		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	226.44		Some services are zero paid.		143.59	323.01	
Pathology Human Papillomavirus	87624	HCPCS	310	RC		both	123		Fee Schedule	119.31		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	118.08				Other	53.04		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	83.64		Some services are zero paid.		53.04	119.31	
Special Stains; Microorganisms	88312	HCPCS	310	RC		both	157		Fee Schedule	152.29		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	150.72				Other	109.86		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	106.76		Some services are zero paid.		106.76	152.29	
Fructosamine (BLOD0471)	82985	HCPCS	300	RC		both	69		Fee Schedule	66.93		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	66.24				Other	29.75		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	46.92		Some services are zero paid.		29.75	66.93	
Imipramine (BLOD0386)	80335	HCPCS	300	RC		both	99		Fee Schedule	96.03		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	95.04				Other	42.69		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	67.32		Some services are zero paid.		42.69	96.03	
Carbamazepine-10/Tegretol (BLOD0532)	80156	HCPCS	300	RC		both	110		Fee Schedule	106.7		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	105.6				Other	47.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	74.8		Some services are zero paid.		47.43	106.7	
Shiga-Like Toxin on Stool (NBLD0249)	87427	HCPCS	300	RC		both	80		Fee Schedule	77.6		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	76.8				Other	34.5		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	54.4		Some services are zero paid.		34.5	77.6	
Allergen Food Milk (BLOD0737)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Hereditary Hemochromatosis (BLOD0365)	81256	HCPCS	300	RC		both	391		Fee Schedule	379.27		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	375.36				Other	168.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	265.88		Some services are zero paid.		168.6	379.27	
"Vitamin D Hydroxy D2, D3 (BLOD1227)"	82306	HCPCS	300	RC		both	138		Fee Schedule	133.86		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	132.48				Other	59.51		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	93.84		Some services are zero paid.		59.51	133.86	
Immunohistomine Antibody	88341	HCPCS	310	RC		both	229		Fee Schedule	222.13		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	219.84				Other	88.53		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	155.72		Some services are zero paid.		88.53	222.13	
Allergen Animal Goose Feather (BLOD0245)	86003	HCPCS	300	RC		both	48		Fee Schedule	46.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	46.08				Other	20.7		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	32.64		Some services are zero paid.		20.7	46.56	
IgE Total (Allergy North Central Panel)	82785	HCPCS	300	RC		both	51		Fee Schedule	49.47		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	48.96				Other	21.99		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	34.68		Some services are zero paid.		21.99	49.47	
Allergen Weed Lambs Quarter (BLOD0733)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen Weed Marshelder Rough (BLOD0736	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen Grass Orchard Grass (BLOD0743)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
Allergen Mold Penicillum Nota (BLOD0746)	86003	HCPCS	300	RC		both	75		Fee Schedule	72.75		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	72				Other	32.34		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	51		Some services are zero paid.		32.34	72.75	
"Cortisol, Random (BLOD0609)"	82533	HCPCS	300	RC		both	107		Fee Schedule	103.79		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	102.72				Other	46.14		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	72.76		Some services are zero paid.		46.14	103.79	
CA 15-3 (Breast Cancer) (BLOD0311)	86300	HCPCS	300	RC		both	177		Fee Schedule	171.69		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	169.92				Other	76.32		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	120.36		Some services are zero paid.		76.32	171.69	
Insulin Antibodies (BLOD0127)	86337	HCPCS	300	RC		both	153		Fee Schedule	148.41		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	146.88				Other	65.97		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	104.04		Some services are zero paid.		65.97	148.41	
Alpha-1-Antitrypsin Phenotype (BLOD0149)	82104	HCPCS	300	RC		both	117		Fee Schedule	113.49		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	112.32				Other	50.45		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	79.56		Some services are zero paid.		50.45	113.49	
Phosphorus Inorganic Urine (NBLD0287)	84105	HCPCS	300	RC		both	64		Fee Schedule	62.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	61.44				Other	27.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	43.52		Some services are zero paid.		27.6	62.08	
Sodium; Urine (NBLD0287)	84300	HCPCS	300	RC		both	44		Fee Schedule	42.68		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	42.24				Other	18.97		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	29.92		Some services are zero paid.		18.97	42.68	
Magnesium (NBLD0287)	83735	HCPCS	300	RC		both	64		Fee Schedule	62.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	61.44				Other	27.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	43.52		Some services are zero paid.		27.6	62.08	
Calcium; Urine Quantitative (NBLD0287)	82340	HCPCS	300	RC		both	64		Fee Schedule	62.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	61.44				Other	27.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	43.52		Some services are zero paid.		27.6	62.08	
Uric Acid; Other Source (NBLD0287)	84560	HCPCS	300	RC		both	64		Fee Schedule	62.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	61.44				Other	27.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	43.52		Some services are zero paid.		27.6	62.08	
Citrate (NBLD0287)	82507	HCPCS	300	RC		both	64		Fee Schedule	62.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	61.44				Other	27.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	43.52		Some services are zero paid.		27.6	62.08	
Oxalate (NBLD0287)	83945	HCPCS	300	RC		both	64		Fee Schedule	62.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	61.44				Other	27.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	43.52		Some services are zero paid.		27.6	62.08	
Creatinine; Other Source (NBLD0287)	82570	HCPCS	300	RC		both	64		Fee Schedule	62.08		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	61.44				Other	27.6		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	43.52		Some services are zero paid.		27.6	62.08	
Plasma Porphryins (BLOD1174)	84311	HCPCS	300	RC		both	119		Fee Schedule	115.43		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	114.24				Other	51.31		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	80.92		Some services are zero paid.		51.31	115.43	
Calprotectin (NBLD0368)	83993	HCPCS	300	RC		both	224		Fee Schedule	217.28		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	215.04				Other	96.59		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	152.32		Some services are zero paid.		96.59	217.28	
Iron (BLOD0973)	83540	HCPCS	300	RC		both	134		Fee Schedule	129.98		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	128.64				Other	57.78		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	91.12		Some services are zero paid.		57.78	129.98	
Iron Binding Capacity (BLOD0973)	83550	HCPCS	300	RC		both	134		Fee Schedule	129.98		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	128.64				Other	57.78		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	91.12		Some services are zero paid.		57.78	129.98	
TSH Ultrasensitive (BLOD0597)	84443	HCPCS	300	RC		both	148		Fee Schedule	143.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	142.08				Other	63.82		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	100.64		Some services are zero paid.		63.82	143.56	
Pseudocholinesterase (BLOD0163)	82480	HCPCS	300	RC		both	61		Fee Schedule	59.17		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	58.56				Other	26.3		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	41.48		Some services are zero paid.		26.3	59.17	
"Culture Bacterial, Blood Typing"	87149	HCPCS	300	RC		both	54		Fee Schedule	52.38		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	51.84				Other	23.28		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	36.72		Some services are zero paid.		23.28	52.38	
Soybean Allergen (BLOD0756)	86003	HCPCS	300	RC		both	67		Fee Schedule	64.99		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	64.32				Other	28.89		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	45.56		Some services are zero paid.		28.89	64.99	
Carotene (BLOD0373)	82380	HCPCS	300	RC		both	97		Fee Schedule	94.09		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	93.12				Other	41.83		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	65.96		Some services are zero paid.		41.83	94.09	
"Testosterone, Free Measured (BLOD1390)"	84402	HCPCS	300	RC		both	118		Fee Schedule	114.46		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	113.28				Other	50.88		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	80.24		Some services are zero paid.		50.88	114.46	
"Testosterone, Total Measured (BLOD1390)"	84403	HCPCS	300	RC		both	128		Fee Schedule	124.16		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	122.88				Other	55.19		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	87.04		Some services are zero paid.		55.19	124.16	
Albumin 24hr Urine (NBLD0165)	82043	HCPCS	300	RC		both	63		Fee Schedule	61.11		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	60.48				Other	27.17		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	42.84		Some services are zero paid.		27.17	61.11	
Alternaria Alternata (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Aspergillus Furnigatus (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Bermuda Grass (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Birch Tree (BLOD1205)	86003	HCPCS	300	RC		both	67		Fee Schedule	64.99		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	64.32				Other	28.89		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	45.56		Some services are zero paid.		28.89	64.99	
Cat Dander (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Cladosporium Herbarum (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Cockroach (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Common Ragweed (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Cottonwood (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Dermatophagoides Farinae (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Dermatophagoides Pteronyssinus (BLOD1205	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Dog Dander (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Elm Tree (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Maple Tree (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Marsh Elder (BLOD1205)	86003	HCPCS	300	RC		both	67		Fee Schedule	64.99		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	64.32				Other	28.89		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	45.56		Some services are zero paid.		28.89	64.99	
Mountain Cedar (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Mulberry (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Nettle (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Oak Tree (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Pecan Hickory Tree (BLOD1205)	86003	HCPCS	300	RC		both	67		Fee Schedule	64.99		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	64.32				Other	28.89		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	45.56		Some services are zero paid.		28.89	64.99	
Penicillium Notatum (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Pigweed (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Sheep Sorrel (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Timothy Grass (BLOD1205)	86003	HCPCS	300	RC		both	67		Fee Schedule	64.99		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	64.32				Other	28.89		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	45.56		Some services are zero paid.		28.89	64.99	
White Ash Tree (BLOD1205)	86003	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Total IgE (BLOD1205)	82785	HCPCS	300	RC		both	45		Fee Schedule	43.65		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	43.2				Other	19.4		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	30.6		Some services are zero paid.		19.4	43.65	
Comprehensive Enteric Path Pan(NBLD0511)	87507	HCPCS	300	RC		both	798		Fee Schedule	774.06		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	766.08				Other	344.1		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	542.64		Some services are zero paid.		344.1	774.06	
Barley Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Cacao (Cocoa) Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Cashew Nut Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Chicken Meat Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Codfish Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Corn Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Eggwhite Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Milk Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Oats Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Orange Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Peanut Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Pork (Food) Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Potato Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Scallops Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Shrimp Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Soybean Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Tomato Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Walnut (Food) Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Wheat Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Yeast Allergy (BLOD0801)	86003	HCPCS	300	RC		both	47		Fee Schedule	45.59		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	45.12				Other	20.27		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	31.96		Some services are zero paid.		20.27	45.59	
Drug Screen Expanded w/Opiates (NBLD0374	80307	HCPCS	300	RC		both	86		Fee Schedule	83.42		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	82.56				Other	37.08		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	58.48		Some services are zero paid.		37.08	83.42	
Iodine 24 Hour Urine (NBLD0383)	83789	HCPCS	300	RC		both	85		Fee Schedule	82.45		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	81.6				Other	36.65		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	57.8		Some services are zero paid.		36.65	82.45	
Procalcitonin (BLOD1156)	84145	HCPCS	300	RC		both	239		Fee Schedule	231.83		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	229.44				Other	103.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	162.52		Some services are zero paid.		103.06	231.83	
SM Antibodies IgG (BLOD1380)	86235	HCPCS	300	RC		both	109		Fee Schedule	105.73		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	104.64				Other	47		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	74.12		Some services are zero paid.		47	105.73	
Thrombin Time	85670	HCPCS	300	RC		both	93		Fee Schedule	90.21		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	89.28				Other	40.1		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	63.24		Some services are zero paid.		40.1	90.21	
Immunofixation Electroph Serum (BLOD1069	86334	HCPCS	300	RC		both	108		Fee Schedule	104.76		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	103.68				Other	46.57		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	73.44		Some services are zero paid.		46.57	104.76	
Protein Electrophoretic Serum (BLOD1069)	84165	HCPCS	300	RC		both	82		Fee Schedule	79.54		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	78.72				Other	35.36		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	55.76		Some services are zero paid.		35.36	79.54	
Immunofixation Elect O Fluids (NBLD0271)	86335	HCPCS	300	RC		both	81		Fee Schedule	78.57		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	77.76				Other	34.93		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	55.08		Some services are zero paid.		34.93	78.57	
Protein Electrophoretic Fract (NBLD0271)	84166	HCPCS	300	RC		both	81		Fee Schedule	78.57		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	77.76				Other	34.93		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	55.08		Some services are zero paid.		34.93	78.57	
Creatinine Clearance (LBAN0004)	82575	HCPCS	300	RC		both	98		Fee Schedule	95.06		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	94.08				Other	42.26		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	66.64		Some services are zero paid.		42.26	95.06	
Drug Screen Meconium (NBLD0115)	80307	HCPCS	300	RC		both	219		Fee Schedule	212.43		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	210.24				Other	94.43		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	148.92		Some services are zero paid.		94.43	212.43	
Liver/Kidney Microsome Type 1 (BLOD0128)	86376	HCPCS	300	RC		both	132		Fee Schedule	128.04		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	126.72				Other	56.92		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	89.76		Some services are zero paid.		56.92	128.04	
Muscle Specific Kinas-Auto An (BLOD0455)	83519	HCPCS	300	RC		both	1802		Fee Schedule	1747.94		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	1729.92				Other	777.02		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	1225.36		Some services are zero paid.		777.02	1747.94	
Acetylcholine Rceptor Binding (BLOD0472)	83519	HCPCS	300	RC		both	127		Fee Schedule	123.19		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	121.92				Other	54.76		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	86.36		Some services are zero paid.		54.76	123.19	
Myeloperoxidase Antibody (MPO) (BLOD0293	83516	HCPCS	300	RC		both	132		Fee Schedule	128.04		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	126.72				Other	56.92		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	89.76		Some services are zero paid.		56.92	128.04	
Lyme Disease Antibodyt (BLOD0786)	86617	HCPCS	300	RC		both	130		Fee Schedule	126.1		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	124.8				Other	56.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	88.4		Some services are zero paid.		56.06	126.1	
ABO Blood Group	86900	HCPCS	300	RC		both	67		Fee Schedule	64.99		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	64.32				Other	28.89		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	45.56		Some services are zero paid.		28.89	64.99	
Double Strand DNA Antibody ID (BLOD1392)	86255	HCPCS	300	RC		both	99		Fee Schedule	96.03		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	95.04				Other	42.69		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	67.32		Some services are zero paid.		42.69	96.03	
Serum Protein Electrophoresis (BLOD0913)	84165	HCPCS	300	RC		both	48		Fee Schedule	46.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	46.08				Other	20.7		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	32.64		Some services are zero paid.		20.7	46.56	
Immunoglobulins IgA (BLOD0913)	82784	HCPCS	300	RC		both	41		Fee Schedule	39.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	39.36				Other	17.68		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	27.88		Some services are zero paid.		17.68	39.77	
Immunoglobulins IgG (BLOD0913)	82784	HCPCS	300	RC		both	41		Fee Schedule	39.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	39.36				Other	17.68		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	27.88		Some services are zero paid.		17.68	39.77	
Immunoglobulins IgM (BLOD0913)	82784	HCPCS	300	RC		both	41		Fee Schedule	39.77		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	39.36				Other	17.68		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	27.88		Some services are zero paid.		17.68	39.77	
"Immunofixation, Serum (BLOD0913)"	86334	HCPCS	300	RC		both	48		Fee Schedule	46.56		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	46.08				Other	20.7		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	32.64		Some services are zero paid.		20.7	46.56	
Bartonella Antibody	86611	HCPCS	300	RC		both	117		Fee Schedule	113.49		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	112.32				Other	50.45		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	79.56		Some services are zero paid.		50.45	113.49	
Clonazepam (BLOD0017)	80346	HCPCS	300	RC		both	100		Fee Schedule	97		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	96				Other	43.12		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	68		Some services are zero paid.		43.12	97	
Myoglobin Serum or Plasma (BLOD0580)	83874	HCPCS	300	RC		both	71		Fee Schedule	68.87		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	68.16				Other	30.62		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	48.28		Some services are zero paid.		30.62	68.87	
Assay of Cryofibrn (BLOD1235)	82585	HCPCS	300	RC		both	79		Fee Schedule	76.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	75.84				Other	34.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.72		Some services are zero paid.		34.06	76.63	
Cryoglobulin Qualitative/Semi (BLOD1235)	82595	HCPCS	300	RC		both	79		Fee Schedule	76.63		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	75.84				Other	34.06		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services furnished in a CAH to CAH outpatients is reimbursed at 115% of what would otherwise be paid under the fee schedule."	Percent of Total Billed Charges	53.72		Some services are zero paid.		34.06	76.63	
Cell Count Misc Fluid w/Diff (NBLD0273)	89051	HCPCS	300	RC		both	43		Fee Schedule	41.71		"Reimbursement subject to multiple procedure adjustment, when applicable."		Percent of Total Billed Charges	41.28				Other	18.54		Reimbursement  is based on the facility specific Medicare Interim Rate letter. Professional services billed on the hospital claim are paid at  115% of the Medicare Professional Fee Schedule rate.  Reimbursement is subject to Medicare Sequestration.	"Method II reimbursement for outpatient CAH services is 101 percent of the reasonable cost less applicable Part B deductible and coinsurance amounts. Under Method II, payment for professional medical services f