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CPT 794T

PT SPEC ALG RX-ONC TX OPTION

Reported by 72 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

$2

Average

$111

Median

$80

High

$923

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1VHS Harper-Hutzel Hospital IncDetroit, MI$2$2$1—$1$3
2VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$2$2$1—$1$3
3Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$395$398$55—$1$471
4Forsyth Memorial Hospital, Inc.Winston-Salem, NC$58$65$19—$57$114
5Santa Rosa Hospital - Westover HillsSan Antonio, TX$59$80$44—$56$1.1k
6Novant Health New Hanover Regional Medical Center LLCWilmington, NC$60$73$28—$58$361
7Southeast Texas Orthopedic Specialty CenterPort Arthur, TX$62$96$67—$60$1.3k
8Christus Health Southeast TexasPort Arthur, TX$62$96$67—$60$1.3k
9Christus Health Southeast TexasBeaumont, TX$62$96$67—$60$1.3k
10CHRISTUS Hospital - OrangeOrange, TX$62$96$67—$60$1.3k
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