Questions & corrections

Northeastern Health System Sequoyah · Electrocardiogram complete

$60.00

Source file dated 2026-02-10 · both

Source note: This algorith calculates based on a base rate multiplied by the EAPG weight as defined by the payer multiplied by outpatient units of service and finally multiplied by a discount percentage which is defined under specific circumstances in the contract.|Recurring Services - not greater than 75% of charges for covered recurring services - adjust formula acordingly.| If multiple EAPGs are billed, the highest weighted is reimbursed at 100%, the next highest at 50%, 25% for all others and the totals per EAPG are added together. |For non-packaged EAPGs, they are ordered based on type and descending weight and use the Discount Percentage Matrix to apply percent.|If service is cancelled after being taken to room and prepped but before Anesthesia then 50% maximum reimbursement, if after anesthesia then 100% Not all services are utilized/offered at all locations within a year but may still have a set standard charge in the charge master. Additionally, not all payers pay at the line item level, meaning an allowed amount cannot be determined per line item. This service was either not rendered or not paid at the line item within the last year by this payer.