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CPT 87803

87803 CLOSTRIDIUM TOXIN A W/OPTIC

Reported by 6 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

$14

Average

$23

Median

$23

High

$40

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$11$26$24$48$5
2Bluffton Health System LLCBluffton, IN$11$23$22$48$6
3Dukes Health System LLCPeru, IN$8$14$14$44$2
4Warsaw Health System LLCWarsaw, IN$9$26$24$48$4
5Triad of Alabama LLCDothan, AL$4$16$16$106$2
6Granbury Hospital CorporationGranbury, TX$16$26$40$814$31

Look up this code directly

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