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HCPCS 0230T

Njx tfrml eprl w/us lumb/sac

Reported by 76 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

$148

Average

$3.4k

Median

$3.4k

High

$10.7k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$765$3.4k$2.9k$4.7k$1.4k
2Crawford Long HospitalAtlanta, GA$3.1k$4.1k$4.0k$4.8k$838
3Ehca John's Creek, LlcJohns Creek, GA$3.1k$4.1k$4.0k$4.8k$838
4Dekalb Medical Center, IncDecatur, GA$3.1k$4.1k$4.0k$4.8k$838
5Emory UniversityAtlanta, GA$3.1k$4.1k$4.0k$4.8k$838
6Dekalb Medical Center, IncLithonia, GA$3.1k$3.3k$3.7k$4.8k$792
7Saint Josephs Hospital Of Atlanta IncAtlanta, GA$3.1k$4.1k$4.0k$4.8k$838
8Es Rehabilitation LlcAtlanta, GA$3.1k$3.3k$3.7k$4.8k$792
9Houston Hospitals IncWarner Robins, GA$4.8k$4.8k$4.8k$4.8k—
10Houston Hospitals IncPerry, GA$4.8k$4.8k$4.8k$4.8k—
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