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HCPCS 0403T

Diabetes prev standard curr

Reported by 112 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

$65

Median

$53

High

$211

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$107$97$30—$19$118
2Gundersen Luthern Medical Center IncLa Crosse, WI$19$18$2—$14$19
3Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$59$61$42—$19$108
4Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$28$28——$28$28
5Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$118$104$35—$19$118
6Memorial Hospital of BoscobelBoscobel, WI$92$83$24—$19$92
7Tri-County Memorial Hospital IncWhitehall, WI$92$82$26—$19$92
8St. Vincent's Medical Center, Inc. (FL)Jacksonville, FL$79$79——$79$79
9St Vincents Health System IncJohns, FL$79$79——$79$79
10St. Luke's-St. Vincent's Healthcare, Inc.Jacksonville, FL$79$79——$79$79
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