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HCPCS L0430

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Reported by 21 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$1.0k

Average

$3.8k

Median

$2.9k

High

$6.2k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$1.0k$1.0k$1.0k$1.0k—
2Advocate Childrens Hospital Oak LawnOak Lawn, IL$5.7k$6.1k$6.1k$6.5k$321
3Advocate Christ Medical CenterOak Lawn, IL$5.6k$6.0k$6.0k$6.3k$315
4Advocate Lutheran General HospitalPark Ridge, IL$5.6k$6.1k$6.1k$6.4k$319
5Advocate Good Samaritan HospitalDowners Grove, IL$5.7k$6.2k$6.1k$6.5k$323
6Advocate Childrens Hospital Park RidgePark Ridge, IL$5.8k$6.2k$6.2k$6.5k$327
7Advocate Condell Medical CenterLibertyville, IL$3.5k$3.8k$3.8k$4.0k$198
8Advocate Illinois Masonic Medical CenterChicago, IL$5.7k$6.2k$6.2k$6.5k$325
9Advocate Good Shepherd HospitalBarrington, IL$5.7k$6.2k$6.2k$6.5k$325
10Advocate Sherman HospitalElgin, IL$2.7k$2.9k$2.9k$3.1k$151
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