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CDM 76104365

NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL

Reported by 45 hospitals in the network.

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.

National pricing summary

Low

$403

Average

$1.2k

Median

$613

High

$2.9k

Hospitals reporting this code

#HospitalLocation
1The Cleveland Clinic FoundationCleveland, OH$0$2.8k$2.7k$6.1k$1.7k
2Cleveland Clinic Weston Hospital Nonprofit CorporationWeston, FL$127$1.9k$2.4k$6.9k$1.9k
3The Union Hospital AssociationDover, OH$607$2.3k$2.4k$6.1k$1.6k
4Akron General Medical CenterAkron, OH$0$2.2k$2.3k$6.1k$1.6k
5Baylor Scott & White Medical Center - TempleTemple, TX$71$564$550$1.4k$250
6Cleveland Clinic Mercy HospitalCanton, OH$0$2.3k$2.6k$6.1k$1.7k
7Martin Memorial Medical Center IncStuart, FL$129$1.3k$2.9k$14.0k$3.2k
8Baylor Scott & White Medical Center - BrenhamBrenham, TX$71$385$403$1.4k$297
9Lutheran HospitalCleveland, OH$0$2.1k$2.3k$6.1k$1.7k
10Marymount Hospital IncGarfield Heights, OH$0$2.1k$2.3k$6.1k$1.7k
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Look up this code directly

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