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  5. /Fee schedule
HCPCS 0763T

Dgtz gls mcrscp mphmtrc alys

Reported by 43 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$27

Average

$1.2k

Median

$680

High

$14.4k

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.
1Logan Health - WhitefishWhitefish, MT$27$27——$27$27
2Logan Health - ChesterChester, MT$40$40——$40$40
3Stillwater Billings ClinicColumbus, MT$27$27——$27$27
4Billings ClinicBillings, MT$295$295——$295$295
5Providence Health System - Southern CaliforniaBurbank, CA$839$749$235—$353$965
6Providence Health System - Southern CaliforniaMission Hills, CA$862$767$246—$353$993
7Providence Health System - Southern CaliforniaTorrance, CA$885$788$224—$353$982
8Providence Health System - Southern CaliforniaSanta Monica, CA$1.2k$1.0k$399—$353$1.3k
9Providence Health System - Southern CaliforniaSan Pedro, CA$883$795$229—$353$980
10St Joseph Hospital of OrangeOrange, CA$1.9k$1.9k$239—$1.5k$2.1k
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