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HCPCS 42550

INJ FOR SIALOGRAM LT

Reported by 4 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$500

Average

$907

Median

$792

High

$1.5k

Hospitals reporting this code

#HospitalLocation
1Manatee Memorial HospitalBradenton, FL—$673$602—$88
2Lakewood RanchLakewood Ranch, FL—$1.0k$982—$188
3Glendale Adventist Medical CenterGlendale, CA$54$1.5k$1.5k$8.9k—
4Adventist Health DelanoDelano, CA$52$500$500$2.0k—

Look up this code directly

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