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HCPCS 34300000

NM ISO XE133 XENON GAS PER VIAL 20 MCI

Reported by 9 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$361

Average

$448

Median

$447

High

$512

Hospitals reporting this code

#HospitalLocation
1University Of Texas Health Center At TylerTyler, TX$297$297$418$796$174
2Quitman Hospital, LLCQuitman, TX$150$297$398$796$228
3Tyler Regional Hospital, LLCTyler, TX$297$297$421$784$159
4Athens Hospital, LLCAthens, TX$297$588$512$760$189
5Henderson Hospital, LLCHenderson, TX$297$297$476$784$195
6Rehabilitation Hospital, LLCTyler, TX$297$297$447$796$189
7Carthage Hospital, LLCCarthage, TX$297$588$500$748$187
8Jacksonville Hospital, LLCJacksonville, TX$297$588$502$760$190
9Pittsburg Hospital, LLCPittsburg, TX$143$297$361$796$214

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