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CPT 27403

REPAIR OF KNEE CARTILAGE

Reported by 17 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

$0

Average

$10.7k

Median

$11.2k

High

$26.5k

Hospitals reporting this code

#HospitalLocation
1VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$7.2k—
2VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$7.2k—
3Lutheran Musculoskeletal Center LLCFort Wayne, IN$602$5.0k$13.0k$118.0k$22.7k
4Oro Valley Hospital LLCTucson, AZ$626$4.6k$5.6k$148.0k$1.8k
5Triad of Alabama LLCAL 36305, AL$441$7.0k$12.6k$90.2k$20.4k
6Foley Hospital Company LLCFoley, AL$4.3k$6.9k$7.5k$25.3k$2.1k
7Gadsden Regional Medical Center LLCGadsden, AL$441$6.5k$6.1k$131.7k$1.3k
8Roswell Hospital CorporationRoswell, NM$624$5.0k$12.0k$99.9k$16.0k
9Saint Alphonsus Regional Medical Center - BoiseBoise, ID$3.3k$7.9k$10.6k$21.9k$4.5k
10Saint Francis Hospital and Medical CenterHartford, CT$8.0k$30.2k$26.5k$30.2k$7.9k
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