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  4. /SUP-294247

CDM SUP-294247

PLATE L 6HL R

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

$224

Average

$419

Median

$413

High

$976

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$315$377$962,189–2,252$171$591
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$393$403$891,646–1,673$166$553
3Holy Cross Hospital-Silver SpringSilver Spring, MD$444$439$121,530–1,638$400$448
4St Peters HospitalAlbany, NY$197$248$1051,364–1,463$148$492
5Mercy Health Saint MarysGrand Rapids, MI$340$383$951,358–1,403$171$591
6St Joseph Mercy Ann ArborYpsilanti, MI$229$276$1091,172–1,199$118$492
7St Mary Mercy LivoniaLivonia, MI$294$336$132575–629$136$689
8Saint Francis Hospital and Medical CenterHartford, CT$268$265$31567–603$195$335
9Samaritan HospitalTroy, NY$197$245$102427–535$148$492
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$368$438$123379–406$228$788
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