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HCPCS 0641T

NCNTC NR IFR SPCTRSC WND IMG

Reported by 83 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

$37

Average

$131

Median

$95

High

$604

Hospitals reporting this code

#HospitalLocation
1Gundersen Luthern Medical Center IncLa Crosse, WI$15$45$45$74$29
2Ascension Via Christi Rehabilitation Hospital, Inc.Wichita, KS$97$97$97$97—
3St. Vincent's Medical Center, Inc. (FL)Jacksonville, FL$48$48$48$48—
4St Vincents Health System IncJohns, FL$48$48$48$48—
5St. Luke's-St. Vincent's Healthcare, Inc.Jacksonville, FL$48$48$48$48—
6St. Vincent's Medical Center-Clay County, Inc.Middleburg, FL$48$48$48$48—
7Ascension NE Wisconsin, Inc.Oshkosh, WI$141$141$141$141—
8Ascension Calumet Hospital, Inc.Chilton, WI$141$141$141$141—
9Columbia St. Mary's Hospital Ozaukee, Inc.Mequon, WI$68$68$68$68—
10Ascension NE Wisconsin, Inc.Appleton, WI$141$141$141$141—
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