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  4. /0689T
HCPCS 0689T

Quan us tis charac w/o dx us

Reported by 331 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

$68

Average

$142

Median

$127

High

$460

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$132$124$11—$109$132
2St Joseph’s Health Services IncHillsboro, WI$279$267$83—$49$373
3Gundersen Luthern Medical Center IncLa Crosse, WI$87$75$33—$39$190
4Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$150$156$108—$49$275
5Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$306$269$90—$49$306
6Memorial Hospital of BoscobelBoscobel, WI$239$232$77—$49$373
7Tri-County Memorial Hospital IncWhitehall, WI$239$212$67—$49$239
8Presence Chicago Hospitals NetworkChicago, IL$92$93$2—$83$789
9St. Alexius Medical CenterEstates, IL$95$106$21—$87$162
10Alexian Brothers Medical CenterVillage, IL$95$106$21—$87$161
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