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HCPCS J3032

EPTINEZUMAB-JJMR 100 MG/ML IV SOLN

Reported by 68 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

$20

Average

$998

Median

$22

High

$23.2k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$14$21$29$57$15
2Northwest Iowa Hospital CorporationSioux City, IA$4$21$21$29$0
3St Luke's Methodist HospitalCedar Rapids, IA$4$21$21$36$0
4Trinity Medical CenterRock Island, IL$4$21$29$57$15
5Trinity Medical CenterBettendorf, IA$4$21$22$32$4
6Unity HealthcareMuscatine, IA$13$21$29$57$15
7Trinity Regional Medical CenterFort Dodge, IA$15$21$21$37$0
8Meriter Hospital, IncMadison, WI$9$20$20$35—
9Central Iowa Hospital CorporationDes Moines, IA$3$21$21$33$0
10Central Iowa Hospital CorporationDes Moines, IA$3$21$21$39$0
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