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CPT 0486T

OCT MID EAR I&R BILATERAL

Reported by 61 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

$25

Average

$47

Median

$40

High

$78

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$38$39$40$91$2
2Northwest Iowa Hospital CorporationSioux City, IA$39$40$40$105$1
3St Luke's Methodist HospitalCedar Rapids, IA$37$38$38$98$1
4Trinity Medical CenterRock Island, IL$38$42$44$111$7
5Trinity Medical CenterBettendorf, IA$37$38$40$101$7
6Unity HealthcareMuscatine, IA$36$37$40$118$7
7Trinity Regional Medical CenterFort Dodge, IA$37$37$37$103$1
8Meriter Hospital, IncMadison, WI$38$38$38$38—
9Central Iowa Hospital CorporationDes Moines, IA$37$38$38$96$1
10Central Iowa Hospital CorporationDes Moines, IA$40$41$41$101$1
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