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  4. /SUP-252134

CDM SUP-252134

PLATE T 4HL 83MM

Reported by 47 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

Based on 13,875–14,928 billing samples across every hospital reporting.

Low

$135

Average

$249

Median

$242

High

$544

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Mercy Health Hackley CampusMuskogen, MI$173$208$532,189–2,252$94$325
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$259$266$591,646–1,673$110$365
3Holy Cross Hospital-Silver SpringSilver Spring, MD$244$242$71,530–1,638$220$247
4St Peters HospitalAlbany, NY$108$137$581,364–1,463$81$271
5Mercy Health Saint MarysGrand Rapids, MI$187$211$521,358–1,403$94$325
6St Joseph Mercy Ann ArborYpsilanti, MI$140$168$671,172–1,199$72$300
7St Mary Mercy LivoniaLivonia, MI$162$185$73575–629$75$379
8Saint Francis Hospital and Medical CenterHartford, CT$147$146$17567–603$108$184
9Samaritan HospitalTroy, NY$108$135$56427–535$81$271
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$202$246$83379–406$126$632
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Look up this code directly

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