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  4. /0704T
HCPCS 0704T

Rem tx amblyopia setup&edu

Reported by 71 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

$33

Average

$4.4k

Median

$70

High

$304.5k

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.
1St Joseph’s Health Services IncHillsboro, WI$191$173$53—$33$209
2Gundersen Luthern Medical Center IncLa Crosse, WI$33$33$0—$33$34
3Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$109$113$80—$33$202
4Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$209$184$62—$33$209
5Memorial Hospital of BoscobelBoscobel, WI$163$147$43—$33$163
6Tri-County Memorial Hospital IncWhitehall, WI$164$145$46—$33$164
7Ascension ProvidenceWaco, TX$119$116$16—$91$136
8Ascension SetonLuling, TX$187$181$46—$94$228
9Ascension SetonAustin, TX$187$181$46—$94$228
10Ascension SetonBurnet, TX$187$181$46—$94$228
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