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CDM 27400645

AFO CUSTOM MADE DFA

Reported by 31 hospitals in the network.

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.

National pricing summary

Low

$55

Average

$73

Median

$64

High

$368

Hospitals reporting this code

#HospitalLocation
1The Cleveland Clinic FoundationCleveland, OH$125$368$368$573$102
2Baylor Scott & White Medical Center - TempleTemple, TX$15$67$63$90$15
3Baylor Scott & White Medical Center - BrenhamBrenham, TX$12$60$55$90$23
4Baylor Scott & White Medical Center - TaylorTaylor, TX$19$65$57$80$20
5Baylor Scott & White Medical Center - HillcrestWaco, TX$12$60$59$80$15
6Baylor University Medical CenterDallas, TX$17$70$63$80$15
7Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$16$70$62$80$17
8Baylor Scott & White Medical Center - Round RockRound Rock, TX$20$69$64$90$14
9Baylor Scott & White McLane Children's Medical CenterTemple, TX$15$65$63$80$13
10Baylor Scott & White Medical Center - Lake PointeRowlett, TX$11$70$63$80$15
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