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HCPCS 0913T

HB PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART

Reported by 17 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

$2.8k

Average

$11.6k

Median

$11.6k

High

$17.3k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$4.8k$12.6k$11.5k$17.7k$3.1k
2University of Iowa Health Care Medical CenterIowa City, IA$4.8k$13.5k$13.4k$17.7k$1.1k
3Glendale Adventist Medical CenterGlendale, CA$1.2k$11.2k$11.6k$68.4k$1.4k
4Simi Valley Hospital And Health Care ServicesValley, CA$2.4k$11.2k$10.6k$33.4k$2.9k
5San Joaquin Community HospitalBakersfield, CA$3.9k$13.0k$13.4k$33.4k$1.6k
6Lodi Memorial Hospital Association IncLodi, CA$3.5k$12.9k$12.9k$30.5k—
7White Memorial Medical CenterAngeles, CA$85$12.1k$12.5k$59.9k$1.5k
8St Helena HospitalHelena, CA$4.1k$12.8k$13.2k$27.6k$1.6k
9UPMC LititzLititz, PA$2.3k$17.3k$17.3k$17.3k—
10UPMC HamotErie, PA$2.6k$2.8k$2.8k$14.0k—
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