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  4. /0517U
HCPCS 0517U

Ther rx mntr 80+ psyactiv rx

Reported by 314 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

$28

Average

$365

Median

$309

High

$3.2k

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$507$518$261—$198$956
2St Joseph’s Health Services IncHillsboro, WI$2.2k$2.2k——$2.2k$2.2k
3Gundersen Luthern Medical Center IncLa Crosse, WI$247$929$1.4k—$247$3.8k
4Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$938$938——$938$938
5Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$938$938——$938$938
6Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$2.2k$1.7k$629—$938$2.2k
7Memorial Hospital of BoscobelBoscobel, WI$938$783$220—$472$938
8Tri-County Memorial Hospital IncWhitehall, WI$3.6k$3.2k$682—$2.2k$3.8k
9Presence Chicago Hospitals NetworkChicago, IL$247$250$5—$247$400
10St. Alexius Medical CenterEstates, IL$254$285$58—$235$437
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