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HCPCS Q4113

GRAFTJKT EXP ALG 1CC

Reported by 16 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$804

Average

$2.6k

Median

$2.5k

High

$6.0k

Hospitals reporting this code

#HospitalLocation
1Triad of Alabama LLCAL 36305, AL$628$2.5k$2.5k$4.2k$1.7k
2Affinity Hospital LLCBirmingham, AL$648$3.5k$3.5k$4.3k$863
3Spring Valley Hospital Medical CenterLas Vegas, NV—$2.0k$2.0k——
4Valley Health Speciality HospitalLas Vegas, NV—$2.0k$2.0k——
5Summerlin Hospital Medical CenterLas Vegas, NV—$2.0k$2.0k——
6West Henderson HospitalNV 89052, NV—$2.0k$2.0k——
7Henderson HospitalHenderson, NV—$2.0k$2.0k——
8Centennial HillsLas Vegas, NV—$2.0k$2.0k——
9Wellington Regional Medical CenterWellington, FL—$320$804—$1.1k
10Southwest HealthcareTemecula, CA—$6.0k$6.0k—$1.5k
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