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  4. /0787T
HCPCS 0787T

Revj/rmvl nea sac w/nstim

Reported by 242 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

$392

Average

$5.3k

Median

$4.9k

High

$15.2k

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$8.0k$7.2k$2.8k—$2.3k$10.9k
2Gundersen Luthern Medical Center IncLa Crosse, WI$3.7k$3.6k$186—$3.2k$3.7k
3Ascension Via Christi Hospital Manhattan, Inc.Manhattan, KS$7.1k$7.1k$181—$6.9k$7.2k
4Wamego Hospital Association, Inc.Wamego, KS$8.6k$8.6k$219—$8.3k$8.8k
5St. Vincent's Medical Center, Inc. (FL)Jacksonville, FL$392$392$177—$215$568
6St Vincents Health System IncJohns, FL$392$392$177—$215$568
7St. Luke's-St. Vincent's Healthcare, Inc.Jacksonville, FL$392$392$177—$215$568
8St. Vincent's Medical Center-Clay County, Inc.Middleburg, FL$392$392$177—$215$568
9Columbia St. Mary's Hospital Ozaukee, Inc.Mequon, WI$956$956——$956$956
10Columbia St. Mary's Hospital Milwaukee, Inc.Milwaukee, WI$956$956——$956$956
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