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HCPCS M0064

Visit for drug monitoring

Reported by 31 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

$17

Average

$122

Median

$67

High

$322

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$31$31$31$31—
2Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$25$29$29$34$5
3Amisub of South Carolina, Inc.Fort Mill, SC$287$287$287$287—
4Providence Health System - Southern CaliforniaSanta Monica, CA$322$322$322$322—
5The Medical Center of Central Georgia IncMacon, GA$48$48$48$48—
6Central Georgia Rehabilitation LLCMacon, GA$48$48$48$48—
7Advocate Childrens Hospital Oak LawnOak Lawn, IL$234$253$251$267$13
8Advocate Christ Medical CenterOak Lawn, IL$230$249$247$262$13
9Advocate Lutheran General HospitalPark Ridge, IL$233$252$250$265$13
10Advocate Good Samaritan HospitalDowners Grove, IL$235$255$253$268$13
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