What does code M1007 cost?

We have parsed hospital-published rows for M1007, but cash prices were not disclosed in every file. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

M1007 is the billing code hospitals use to identify ">=50% TOTAL PT OUTPT RA ENCT" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

M1007

HCPCS

>=50% TOTAL PT OUTPT RA ENCT

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code M1007 (>=50% TOTAL PT OUTPT RA ENCT) appears at 16 hospitals. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

Compare M1007 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

16 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
>=50% TOTAL PT OUTPT RA ENCT Outpatient	CHRISTUS Coushatta Health Care Center	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	CHRISTUS Health - West Beaumont	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	CHRISTUS Louisiana Surgical Hospital	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	CHRISTUS Ochsner Lake Area Hospital	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	CHRISTUS Ochsner St. Patrick Hospital	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	CHRISTUS Shreveport-Bossier Health System-Highland	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	CHRISTUS St. Francis Cabrini Hospital	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	CHRISTUS St. Vincent Regional Medical Center	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	Novant Health Ballantyne Medical Center	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	Novant Health Brunswick Medical Center	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	Novant Health Charlotte Orthopedic Hospital	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	Novant Health Clemmons Medical Center	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	Novant Health Forsyth Medical Center	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	Novant Health Huntersville Medical Center	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	Novant Health Kernersville Medical Center	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	Novant Health Matthews Medical Center	M1007 HCPCS	—	—	—	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish M1007 prices

Open a hospital to see this code in the context of its full published prices.

CHRISTUS Coushatta Health Care Center CHRISTUS Health - West Beaumont CHRISTUS Louisiana Surgical Hospital CHRISTUS Ochsner Lake Area Hospital CHRISTUS Ochsner St. Patrick Hospital CHRISTUS Shreveport-Bossier Health System-Highland CHRISTUS St. Francis Cabrini Hospital CHRISTUS St. Vincent Regional Medical Center Novant Health Ballantyne Medical Center Novant Health Brunswick Medical Center Novant Health Charlotte Orthopedic Hospital Novant Health Clemmons Medical Center Novant Health Forsyth Medical Center Novant Health Huntersville Medical Center Novant Health Kernersville Medical Center Novant Health Matthews Medical Center

Code M1007: frequently asked

What does code M1007 cost?: We have parsed hospital-published rows for M1007, but cash prices were not disclosed in every file. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code M1007?: M1007 is the billing code hospitals use to identify ">=50% TOTAL PT OUTPT RA ENCT" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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