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APC 0902

Injection,onabotulinumtoxinA

Reported by 10 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$125

Average

$2.8k

Median

$2.6k

High

$6.0k

Hospitals reporting this code

#HospitalLocation
1Crawford Long HospitalAtlanta, GA—$6.0k$6.0k——
2Logan Health Medical CenterKalispell, MT—$2.2k$2.5k—$497
3Logan Health - WhitefishWhitefish, MT—$3.7k$3.7k——
4Wellstar Kennestone HospitalMarietta, GA—$125$125——
5Billings ClinicBillings, MT—$1.9k$2.0k—$355
6Providence Health System - Southern CaliforniaBurbank, CA—$2.6k$2.6k——
7SSM-SLUH, Inc.Saint Louis, MO—$1.8k$2.5k—$1.8k
8SSM Health Care of Oklahoma, IncOklahoma City, OK—$2.3k$3.0k—$2.4k
9SSM Regional Health ServicesJefferson City, MO—$3.3k$3.3k——
10Agnesian Healthcare Inc.Fond Du Lac, WI—$2.7k$2.7k——

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