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CPT 00402

PR ANESTH,SURG BREAST RECONSTRUCTIVE

Reported by 78 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

$1

Average

$2.3k

Median

$63

High

$23.1k

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.
1University of Iowa Health Care Medical Center DowntownIowa City, IA$380$349$88—$119$437
2University of Iowa Health Care Medical CenterIowa City, IA$392$350$88—$119$437
3Sanford Fargo Medical CenterFargo, ND$1$1——$1$1
4Sanford USD Medical CenterSioux Falls, SD$1$1——$1$1
5Sanford Worthington Medical CenterWorthington, MN$1$1——$1$1
6St Joseph's Hospital And Health CenterDickinson, ND$58$95$93—$4$236
7Mercy Medical CenterWilliston, ND$86$158$159—$4$410
8Mercy Health Youngstown LlcWarren, OH$6.9k$6.9k$59—$6.9k$7.0k
9Mercy Health Youngstown LlcYoungstown, OH$7.7k$7.7k——$7.7k$7.7k
10Mercy Health Lourdes Hospital LlcPaducah, KY$6.6k$6.6k$57—$6.6k$6.7k
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Look up this code directly

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