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HCPCS J1817

Insulin for insulin pump use

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

$5

Average

$4.9k

Median

$29

High

$21.8k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$2$29$29$29—
2Trinity Medical CenterRock Island, IL$2$29$29$29—
3Unity HealthcareMuscatine, IA$2$29$29$29—
4Hca Florida North Florida HospitalNEWBERRY, FL$1$15k$15k$15k—
5Catholic Health Initiatives ColoradoFrisco, CO$5$5$5$483—
6Sharp Chula Vista Medical CenterChula Vista, CA$29$6.2k$6.2k$6.2k—
7Sharp Mesa Vista HospitalSan Diego, CA$1$725$725$725—
8Sharp Coronado Hospital and Healthcare CenterCoronado, CA$5$21.8k$21.8k$21.8k—
9Columbus Regional Healthcare System, IncWhiteville, NC$10$10$10$10—

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