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HCPCS 0255T

Evasc rpr iliac art bifr s&i

Reported by 50 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

$247

Average

$3.9k

Median

$2.7k

High

$26.4k

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$25.3k$26.4k$3.7k—$20.6k$33.8k
2St Joseph’s Health Services IncHillsboro, WI$9.9k$9.0k$2.8k—$1.7k$10.9k
3Gundersen Luthern Medical Center IncLa Crosse, WI$1.7k$1.7k$4—$1.7k$1.7k
4Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$5.5k$5.8k$4.0k—$1.7k$10.2k
5Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$10.9k$9.6k$3.2k—$1.7k$10.9k
6Memorial Hospital of BoscobelBoscobel, WI$8.5k$7.6k$2.2k—$1.7k$8.5k
7Tri-County Memorial Hospital IncWhitehall, WI$8.5k$7.5k$2.4k—$1.7k$8.5k
8St. John Sapulpa, Inc.Sapulpa, OK$5.9k$5.9k——$5.9k$5.9k
9Owasso Medical Facility, Inc.Owasso, OK$6.3k$6.3k——$6.3k$6.3k
10St. John Medical Center, Inc.Tulsa, OK$7.5k$7.5k——$7.5k$7.5k
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