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  4. /0615T
HCPCS 0615T

Eye mvmt alys w/o calbrj i&r

Reported by 327 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

$74

Average

$200

Median

$186

High

$757

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$166$166——$166$166
2St Joseph’s Health Services IncHillsboro, WI$191$173$53—$33$209
3Gundersen Luthern Medical Center IncLa Crosse, WI$122$93$61—$33$254
4Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$109$113$80—$33$202
5Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$209$184$62—$33$209
6Memorial Hospital of BoscobelBoscobel, WI$163$147$43—$33$163
7Tri-County Memorial Hospital IncWhitehall, WI$164$145$46—$33$164
8Presence Chicago Hospitals NetworkChicago, IL$134$136$3—$134$218
9St. Alexius Medical CenterEstates, IL$138$155$31—$128$238
10Alexian Brothers Medical CenterVillage, IL$138$155$31—$128$235
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