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  4. /0455U
HCPCS 0455U

Nfct agt sti mult amp prb ur

Reported by 315 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

$223

Median

$173

High

$3.9k

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$293$299$151—$114$552
2The George Washington University HospitalWashington, DC$0$0$0———
3St Joseph’s Health Services IncHillsboro, WI$1.3k$1.1k$258—$688$1.3k
4Gundersen Luthern Medical Center IncLa Crosse, WI$143$537$789—$143$2.2k
5Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$542$542——$542$542
6Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$542$542——$542$542
7Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$1.3k$987$363—$542$1.3k
8Memorial Hospital of BoscobelBoscobel, WI$542$511$150—$272$688
9Tri-County Memorial Hospital IncWhitehall, WI$2.1k$1.8k$394—$1.3k$2.2k
10Presence Chicago Hospitals NetworkChicago, IL$143$144$3—$143$231
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