Questions & corrections

Northeastern Health System Sequoyah · Metabolic panel total ca

$56.25

Source file dated 2026-02-10 · both

Source note: Reimbursed at the lesser of Medicare allowed amount or hospital's billed charges, minus any patient portion. Medical Supply - DME: lesser of 60% of ChoiceCare's 005-270 fee schedule or charges, less patient portion for covered items listed in the fee schedule; 50% of charges, minus patient portion, for items not in the fee schedule. Reimbursement rate may be 65% of ChoiceCare's 005-270 fee schedule for HomeHealth Routine DME. Physician claims (lesser of rates below or billed charges, minus patient portion): radiology - 85% for midlevels or 87% for providers of ChoiceCare's 201-581 fee schedule, oncology drugs - 85% for midlevels or 100% for providers of ChoiceCare's 201-580 fee schedule, all other services - 85% for midlevels, 100% for providers of ChoiceCare's 005-731 fee schedule Notes: Payer uses Medicare APC allowed amounts for reimbursement of OP encounters instead of the individual code amount. Some services may utilize an adjusted Medicare allowed amount for Oklahoma City, OK in this calculation. Please reach out to the payer or our billing office for an accurate estimate.