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HCPCS M0239

HC IV INFUSION & MONITORING OF BAMLANIVIMAB

Reported by 15 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

$528

Average

$1.6k

Median

$1.6k

High

$3.4k

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoColorado Springs, CO$287$1.2k$1.6k$4.9k$1.4k
2Catholic Health Initiatives ColoradoColorado Springs, CO$401$1.2k$1.6k$4.9k$1.4k
3St Francis HospitalColorado Springs, CO$287$1.2k$1.6k$4.9k$1.4k
4Longmont United HospitalLongmont, CO$287$1.3k$2.0k$4.9k$1.6k
5Catholic Health Initiatives ColoradoFrisco, CO$227$635$854$2.1k$663
6Commonspirit Kansas, Inc.Ulysses, KS$173$528$528$528—
7Catholic Health Initiatives ColoradoPueblo, CO$189$3.5k$3.4k$6.4k$2.3k
8Catholic Health Initiatives ColoradoDurango, CO$528$1.4k$2.0k$4.2k$1.3k
9Commonspirit Kansas, Inc.Garden City, KS$335$528$528$528—
10Orthocolorado, LlcLakewood, CO$287$2.6k$2.7k$4.9k$2.1k
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