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HCPCS 0196T

Prescrl fuse w/o instr l4/l5

Reported by 55 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

$0

Average

$4.4k

Median

$3.6k

High

$14.0k

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.
1St Joseph’s Health Services IncHillsboro, WI$13.0k$11.8k$3.6k—$2.3k$14.3k
2Gundersen Luthern Medical Center IncLa Crosse, WI$2.3k$2.3k$35—$2.2k$2.3k
3Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$6.9k$7.2k$4.9k—$2.3k$12.7k
4Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$14.3k$12.6k$4.2k—$2.3k$14.3k
5Memorial Hospital of BoscobelBoscobel, WI$11.1k$10.0k$2.9k—$2.3k$11.1k
6Tri-County Memorial Hospital IncWhitehall, WI$11.2k$9.9k$3.1k—$2.3k$11.2k
7Saint Thomas West HospitalNashville, TN$1.5k$1.5k——$1.5k$1.5k
8Saint Thomas West HospitalNashville, TN$1.5k$1.5k——$1.5k$1.5k
9Saint Thomas Rutherford HospitalMurfreesboro, TN$1.6k$1.6k——$1.6k$1.6k
10St. John Sapulpa, Inc.Sapulpa, OK$8.8k$8.8k——$8.8k$8.8k
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Look up this code directly

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