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HCPCS 0389T

Prog eval inper leadls pm

Reported by 77 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

$18

Average

$97

Median

$83

High

$299

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$142$129$40—$25$156
2Gundersen Luthern Medical Center IncLa Crosse, WI$25$25$0—$25$25
3Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$80$83$59—$25$148
4Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$156$137$46—$25$156
5Memorial Hospital of BoscobelBoscobel, WI$122$110$32—$25$122
6Tri-County Memorial Hospital IncWhitehall, WI$122$108$34—$25$122
7St. Alexius Medical CenterEstates, IL$302$299$5—$285$302
8Alexian Brothers Behavioral Health HospitalEstates, IL$296$298$3—$296$302
9Alexian Brothers Medical CenterVillage, IL$302$298$5—$285$302
10Saint Thomas Regional HospitalsSmithville, TN$18$18——$18$18
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