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HCPCS 0042U

B brgdrferi antb 12 prtn igg

Reported by 343 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

$8

Average

$27

Median

$23

High

$165

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.
1The Mount Sinai HospitalNew York, NY$25$33$18—$14$67
2St Joseph’s Health Services IncHillsboro, WI$22$49$69—$4$249
3Gundersen Luthern Medical Center IncLa Crosse, WI$17$30$65—$4$262
4Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$22$31$26—$4$65
5Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$65$65——$65$65
6Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$24$31$19—$4$65
7Memorial Hospital of BoscobelBoscobel, WI$19$32$24—$4$83
8Tri-County Memorial Hospital IncWhitehall, WI$19$70$99—$4$262
9Presence Chicago Hospitals NetworkChicago, IL$17$17$0—$17$28
10St. Alexius Medical CenterEstates, IL$18$20$6—$13$40
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