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CDM 274L275501

HC CUS ADDL LWR EXT ORTHOS FOR CUS FAB ONLY

Reported by 32 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

$378

Average

$461

Median

$410

High

$831

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$7$441$399$551$115
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$9$441$405$551$110
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$6$441$405$612$115
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$9$405$385$428$71
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$8$441$402$551$112
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$342$508$502$593$79
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$269$831$820$1.5k$352
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$10$404$378$457$88
9St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$224$539$476$625$111
10IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$11$434$402$551$107
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