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  4. /J9376
  5. /Case rate
HCPCS J9376

Inj pozelimab-bbfg, 1 mg

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

$94

Average

$96

Median

$94

High

$106

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.
1Sanford Fargo Medical CenterFargo, ND$94$94$2—$87$96
2Sanford Medical Center BismarckBismarck, ND$94$94$3—$87$96
3Sanford Bemidji Medical CenterBemidji, MN$94$94$3—$87$96
4Sanford USD Medical CenterSioux Falls, SD$94$94$3—$87$96
5Sanford Aberdeen Medical CenterAberdeen, SD$94$94$3—$87$96
6Sanford Worthington Medical CenterWorthington, MN$94$94$3—$87$96
7Memorial Hospital of Laramie CountyCheyenne, WY$96$96——$96$96
8Floyd Healthcare Management IncRome, GA$93$106$21—$92$138
9Columbus Regional Healthcare System, IncWhiteville, NC$95$95——$92$96

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