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CDM 27800263

HC PASTE COE-PAK PERIODONTAL

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

$162

Average

$206

Median

$188

High

$669

Hospitals reporting this code

#HospitalLocation
1Memorial Hospital of Laramie CountyCheyenne, WY$568$685$669$747$48
2Baylor Scott & White Medical Center - TempleTemple, TX$44$199$208$264$162
3Baylor Scott & White Medical Center - BrenhamBrenham, TX$36$176$162$264$67
4Baylor Scott & White Medical Center - TaylorTaylor, TX$56$191$169$235$57
5Baylor Scott & White Medical Center - HillcrestWaco, TX$35$183$177$235$41
6Baylor University Medical CenterDallas, TX$50$205$186$235$41
7Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$47$204$181$235$48
8Baylor Scott & White Medical Center - Round RockRound Rock, TX$59$201$188$264$42
9Baylor Scott & White McLane Children's Medical CenterTemple, TX$44$195$206$235$166
10Baylor Scott & White Medical Center - Lake PointeRowlett, TX$32$205$185$235$45
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