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  4. /0425T
HCPCS 0425T

Insj/rplc nstim apnea sen ld

Reported by 152 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

$10.4k

Median

$7.5k

High

$46.3k

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$9.5k$11.2k$7.3k—$6.0k$34.3k
2St Joseph’s Health Services IncHillsboro, WI$15.6k$14.1k$4.3k—$2.7k$17.1k
3Gundersen Luthern Medical Center IncLa Crosse, WI$2.7k$4.9k$6.4k—$2.7k$26.1k
4Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$8.5k$8.9k$6.2k—$2.7k$15.7k
5Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$17.1k$15.0k$5.0k—$2.7k$17.1k
6Memorial Hospital of BoscobelBoscobel, WI$13.3k$12.0k$3.5k—$2.7k$13.3k
7Tri-County Memorial Hospital IncWhitehall, WI$13.4k$11.8k$3.7k—$2.7k$13.4k
8Ascension Via Christi Rehabilitation Hospital, Inc.Wichita, KS$907$907——$907$907
9St. Vincent's Medical Center, Inc. (FL)Jacksonville, FL$961$961——$961$961
10St Vincents Health System IncJohns, FL$961$961——$961$961
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Look up this code directly

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