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CPT 01230

Anesth,Open Proc Upper 2/3 Femur

Reported by 12 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

$2.3k

Median

$2.2k

High

$7.1k

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.
1Mercy Health Youngstown LlcYoungstown, OH$2.7k$2.8k$26—$2.7k$2.8k
2Mercy Health Lourdes Hospital LlcPaducah, KY$1.7k$1.7k$16—$1.6k$1.7k
3Mercy Health St Vincent Medical Center LlcToledo, OH$3.2k$3.2k——$3.2k$3.2k
4Mercy Health Anderson Hospital LlcCincinnati, OH$2.8k$2.8k$23—$2.8k$2.9k
5Mercy Health St Vincent Medical Center LlcPerrysburg, OH$7.0k$7.1k$61—$7.0k$7.2k
6Mercy Health Youngstown LlcYoungstown, OH$7.0k$7.1k$61—$7.0k$7.2k
7Mercy Health Tiffin Hospital LlcTiffin, OH$3.1k$3.1k$23—$3.1k$3.1k
8Northside Hospital, Inc.Lawrenceville, GA$69$60$30—$15$129
9Northside Hospital, Inc.Canton, GA$79$82$13—$15$116
10Northside Hospital, Inc.Atlanta, GA$79$82$13—$15$116
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