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CPT 27435

PR POST CAPSULAR RELEASE,KNEE (BILAT)

Reported by 20 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$969

Average

$33.6k

Median

$4.3k

High

$242.1k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$729$3.4k$3.4k$4.6k$1.1k
2Northwest Iowa Hospital CorporationSioux City, IA$646$969$969$2.5k$323
3University of Iowa Health Care Medical Center DowntownIowa City, IA$0$421$1.3k$6.0k$1.4k
4University of Iowa Health Care Medical CenterIowa City, IA$0$421$1.3k$18.9k$1.4k
5Northwestern Memorial HospitalChicago, IL$1.7k$2.8k$2.8k$3.9k$1.1k
6Foley Hospital Company LLCFoley, AL$542$104.4k$97.7k$117.6k$23.1k
7Mat-Su Valley Medical Center LLCAK 99645, AK$978$79.3k$71.0k$96.2k$26.2k
8Navarro Hospital LPCorsicana, TX$775$68.1k$67.3k$102.4k$24.9k
9Piney Woods Healthcare System LPTX 75904, TX$775$263.6k$242.1k$396.5k$130.5k
10Virginia Mason Medical CenterSeattle, WA$4.5k$5.2k$5.2k$6.0k$479
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