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HCPCS D8703

REPLACE BROKEN RETAINER MAX

Reported by 64 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

$49

Average

$262

Median

$234

High

$806

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$124$262$245$505$82
2Adventist Health Medical Center TehachapiTehachapi, CA$137$304$294$685$128
3Sonora Community HospitalSonora, CA$152$268$259$487$83
4Reedley Community HospitalReedley, CA$136$327$318$676$146
5Adventist Health Mendocino CoastBragg, CA$124$251$292$981$191
6Lodi Memorial Hospital Association IncLodi, CA$85$182$224$467$94
7Willits Hospital IncWillits, CA$170$262$275$407$71
8St Joseph’s Health Services IncHillsboro, WI$123$702$638$771$196
9Gundersen Luthern Medical Center IncLa Crosse, WI$102$123$321$985$328
10Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$123$334$348$600$226
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