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HCPCS J1300

Non-Surgical Cases

Reported by 9 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

$247

Average

$932

Median

$535

High

$4k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$761$761$761$761—
2Trinity Medical CenterRock Island, IL$761$761$761$761—
3Unity HealthcareMuscatine, IA$761$761$761$761—
4St. Mary's Regional Medical CenterEnid, OK—$4k$4k——
5Memorial Medical Center San AugustineSan Augustine, TX$209$220$316$4.2k$164
6Memorial Health System Of East TexasLufkin, TX$235$543$501$4.2k$124
7Memorial Hospital Of Polk CountyLivingston, TX$254$580$535$4.2k$132
8Trinity Hospital Holding CompanySteubenville, OH$205$377$503$15.7k$303
9Columbus Regional Healthcare System, IncWhiteville, NC$247$247$247$247—

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