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HCPCS A4774

AMMONIA TEST STRIPS

Reported by 57 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

$1

Average

$17

Median

$15

High

$117

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.
1VHS Harper-Hutzel Hospital IncDetroit, MI$30$35$34—$1$72
2VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$24$30$29—$1$68
3Sanford Fargo Medical CenterFargo, ND$1$1——$1$1
4Sanford Bemidji Medical CenterBemidji, MN$1$1——$1$1
5Sanford USD Medical CenterSioux Falls, SD$1$1——$1$1
6Sanford Worthington Medical CenterWorthington, MN$1$1——$1$1
7Commonspirit Kansas, Inc.Ulysses, KS$19$19——$19$19
8Commonspirit Kansas, Inc.Dodge City, KS$17$17——$17$17
9Commonspirit Kansas, Inc.Garden City, KS$17$17——$17$17
10Memorial Hospital of Laramie CountyCheyenne, WY$8$8——$8$8
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