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HCPCS M0243

CASIRIVI AND IMDEVI INF

Reported by 110 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$126

Average

$613

Median

$588

High

$1.6k

Hospitals reporting this code

#HospitalLocation
1Medical City MckinneyMcKinney, TX$39$189$237$563$143
2Medical City DallasDallas, TX$36$201$224$520$133
3Medical City LewisvilleLEWISVILLE, TX$35$156$209$502$131
4Medical City Fort WorthFT WORTH, TX$34$189$214$488$128
5Hca Houston Healthcare TomballHOUSTON, TX$84$381$336$632$154
6Hca Houston MainlandTexas City, TX$34$184$209$600$131
7Hca Houston Healthcare NorthwestSPRING, TX$32$134$132$281$62
8HCA Houston Rehabilitation Hospital SoutheastPasadena, TX$34$195$214$600$130
9Hca Houston Healthcare Clear LakeFRIENDSWOOD, TX$34$184$208$600$129
10Hca Houston Healthcare SoutheastPASADENA, TX$34$195$214$600$130
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