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HCPCS 0707T

Njx b1 sub mtrl sbchdrl dfct

Reported by 8 hospitals in the network under the case rate methodology.

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.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$1.8k

Average

$3.4k

Median

$2.9k

High

$5.6k

Hospitals reporting this code

#HospitalLocation
1Saint Joseph Hospital - ElginElgin$213$1.8k$1.8k$14.5k—
2Knapp Medical CenterTX 78596, TX$694$3.6k$3.5k$11.8k$239
3Saint Michaels Medical CenterNJ 07102, NJ$22$5.5k$5.6k$14.4k$436
4North Vista HospitalNV 89030, NV$1.2k$3.2k$2.8k$14.5k$793
5Saint Clares HospitalDenville, NJ$3.0k$5.0k$5.4k$11.7k$2.0k
6Riverview Regional Medical CenterAL 35901, AL$307$3.0k$3.0k$18.6k—
7St Joseph Medical CenterMO 64114, MO$723$2.5k$2.5k$10.2k—
8Pampa Regional Medical CenterTX 79065, TX$464$3.1k$2.8k$3.1k$450

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