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CPT 00404

Anesth,Surg Breast Rad Mastec

Reported by 10 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$59

Average

$4.7k

Median

$3.2k

High

$20.8k

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.
1Jewish Hospital LlcCincinnati, OH$6.5k$6.5k$65—$6.5k$6.6k
2Mercy Health Regional Medical Center LlcLorain, OH$6.3k$6.3k$59—$6.3k$6.4k
3Mercy Health Anderson Hospital LlcCincinnati, OH$6.5k$6.5k——$6.5k$6.5k
4Mercy Health Youngstown LlcYoungstown, OH$6.4k$6.4k——$6.4k$6.4k
5Mount Carmel St Ann'sWesterville, OH$23.9k$20.8k$6.3k—$632$23.9k
6Northside Hospital, Inc.Lawrenceville, GA$69$60$30—$15$129
7Northside Hospital, Inc.Canton, GA$79$82$13—$15$116
8Northside Hospital, Inc.Atlanta, GA$79$82$13—$15$116
9Northside Hospital, Inc.Duluth, GA$69$59$31—$15$129
10Northside Hospital, Inc.Cumming, GA$79$82$13—$15$116

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