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HCPCS G0304

Pre-op service LVRS 1-9 dos

Reported by 43 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

$1

Average

$610

Median

$557

High

$874

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.
1The Finley HospitalDubuque, IA$533$535$23—$518$1.2k
2Northwest Iowa Hospital CorporationSioux City, IA$535$535$8—$527$1.4k
3St Luke's Methodist HospitalCedar Rapids, IA$509$509$7—$502$1.3k
4Trinity Medical CenterRock Island, IL$564$594$93—$520$1.5k
5Trinity Medical CenterBettendorf, IA$514$546$97—$499$1.4k
6Unity HealthcareMuscatine, IA$506$539$93—$489$1.6k
7Trinity Regional Medical CenterFort Dodge, IA$506$506$7—$499$1.4k
8Meriter Hospital, IncMadison, WI$513$513——$513$513
9Central Iowa Hospital CorporationDes Moines, IA$513$513$7—$505$1.3k
10Central Iowa Hospital CorporationDes Moines, IA$549$549$8—$541$1.4k
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Look up this code directly

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