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HCPCS L9900

O&P supply/accessory/service

Reported by 23 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

$44

Average

$361

Median

$342

High

$632

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$342$342$342$342—
2Trinity Medical CenterRock Island, IL$342$342$342$342—
3Unity HealthcareMuscatine, IA$342$342$342$342—
4Ukiah Adventist HospitalUkiah, CA$11$51$213$2.5k$363
5Adventist Health Medical Center TehachapiTehachapi, CA$13$46$44$134$8
6Sonora Community HospitalSonora, CA$2$43$220$3.7k$433
7Glendale Adventist Medical CenterGlendale, CA$40$150$342$3.5k$381
8Simi Valley Hospital And Health Care ServicesValley, CA$23$82$189$3.1k$310
9Adventist Health TulareTulare, CA$61$101$324$3.3k$439
10Reedley Community HospitalReedley, CA$77$89$430$3.2k$487
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