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  4. /0721T
HCPCS 0721T

Quan ct tiss charac w/o ct

Reported by 237 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

$152

Average

$1.1k

Median

$925

High

$9.9k

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$1.0k$959$116—$795$1.0k
2St Joseph’s Health Services IncHillsboro, WI$269$520$781—$47$2.7k
3Gundersen Luthern Medical Center IncLa Crosse, WI$651$416$367—$46$1.4k
4Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$146$152$105—$47$269
5Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$296$660$1.1k—$47$3.5k
6Memorial Hospital of BoscobelBoscobel, WI$231$487$792—$47$2.7k
7Tri-County Memorial Hospital IncWhitehall, WI$231$205$64—$47$231
8Presence Chicago Hospitals NetworkChicago, IL$678$687$15—$651$1.5k
9St. Alexius Medical CenterEstates, IL$698$782$158—$644$1.2k
10Alexian Brothers Medical CenterVillage, IL$698$782$157—$644$1.2k
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Look up this code directly

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