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CDM 76104365

HC MAXILLARY IMPRESJ PALATAL PROSTHESIS

Reported by 29 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$335

Average

$633

Median

$644

High

$1.4k

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$71$569$571$1.4k$302
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$71$81$335$1.4k$514
3Baylor Scott & White Medical Center - TaylorTaylor, TX$71$81$335$1.4k$514
4Baylor Scott & White Medical Center - HillcrestWaco, TX$71$569$560$1.4k$312
5Baylor University Medical CenterDallas, TX$165$569$674$1.4k$220
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$156$569$680$1.4k$224
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$71$569$571$1.4k$295
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$71$569$561$1.4k$321
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$107$569$681$1.4k$223
10Baylor Scott & White Medical Center - PlanoPlano, TX$117$569$687$1.4k$229
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