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HCPCS J9070

Non-Surgical Cases

Reported by 11 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

$1.4k

Median

$36

High

$15k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$73$73$73$73—
2Trinity Medical CenterRock Island, IL$73$73$73$73—
3Unity HealthcareMuscatine, IA$73$73$73$73—
4Hca Florida Fort Walton-destin HospitalNAVARRE, FL$15$15k$15k$15k—
5St. Luke's Community Health ServicesSpring, TX$36$36$36$3.4k—
6St Lukes Community Development Corporation - Sugar LandSugar Land, TX$36$39$39$3.4k$3
7St. Lukes Hospital At The VintageHouston, TX$36$36$36$3.4k—
8St Luke's Lakeside Hospital, LlcThe Woodlands, TX$36$36$36$3.4k—
9St. Luke's Community Health ServicesThe Woodlands, TX$36$36$36$3.4k—
10Chi St. Luke's Health Baylor College Of Medicine Medical CenterHouston, TX$36$36$36$3.4k—
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