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CPT 0468U

HEP NASH MIR-34A5P A2M YKL40

Reported by 285 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$245

Average

$377

Median

$272

High

$978

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$252$252$297$571$101
2Northwest Iowa Hospital CorporationSioux City, IA$252$252$323$571$108
3St Luke'sJones Regional Medical CenterAnamosa, IA$252$252$332$571$138
4Medical Ctiy ArgyleArgyle, TX$45$259$273$659$94
5Medical City AllianceSAGINAW, TX$45$252$263$659$89
6St Luke's Methodist HospitalCedar Rapids, IA$252$252$345$571$124
7Trinity Medical CenterRock Island, IL$237$388$396$571$145
8Trinity Medical CenterBettendorf, IA$252$252$334$571$115
9Unity HealthcareMuscatine, IA$252$252$350$571$129
10Trinity Regional Medical CenterFort Dodge, IA$252$252$350$571$129
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