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CPT 00404

PR Anes Extrem Ant Trunk & Perineum Radical/Modified Radical Proc Breast

Reported by 23 hospitals in the network under the case rate 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 a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$21

Average

$555

Median

$21

High

$7.6k

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.
1Mount Carmel St Ann'sWesterville, OH$10.0k$7.6k$3.8k—$632$23.9k
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$21$21——$21$21
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$21$21——$21$21
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$21$21——$21$21
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$21$21——$21$21
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$21$21——$21$21
7IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$21$21——$21$21
8IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$21$21——$21$21
9IHC Health Services Inc., DBA Intermountain Health Layton HospitalLayton, UT$21$21——$21$21
10IHC Health Services, Inc,. DBA Intermountain Health Alta View HospitalSandy, UT$21$21——$21$21
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