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  4. /SUP-330740

CDM SUP-330740

PLATE-L 12MM 100D 6HL L GSP ADVMT

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

$219

Average

$410

Median

$403

High

$953

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$308$369$932,189–2,252$167$577
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$370$380$841,646–1,673$157$522
3Holy Cross Hospital-Silver SpringSilver Spring, MD$434$429$121,530–1,638$391$438
4St Peters HospitalAlbany, NY$220$275$1151,364–1,463$165$551
5Mercy Health Saint MarysGrand Rapids, MI$332$374$931,358–1,403$167$577
6St Joseph Mercy Ann ArborYpsilanti, MI$224$269$1071,172–1,199$115$481
7St Mary Mercy LivoniaLivonia, MI$287$328$129575–629$133$673
8Saint Francis Hospital and Medical CenterHartford, CT$262$259$30567–603$191$327
9Samaritan HospitalTroy, NY$192$239$100427–535$144$481
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$359$428$121379–406$223$769
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