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CPT 27468

Non-Surgical Cases

Reported by 237 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

$10

Average

$9.4k

Median

$8.1k

High

$24.6k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$6.7k$6.7k$6.7k$6.7k—
2Medical Ctiy ArgyleArgyle, TX$1.8k$6.6k$8.1k$47.4k$5.7k
3Medical City AllianceSAGINAW, TX$2.0k$6.6k$8.1k$25.0k$5.7k
4Trinity Medical CenterRock Island, IL$6.7k$6.7k$6.7k$6.7k—
5Unity HealthcareMuscatine, IA$6.7k$6.7k$6.7k$6.7k—
6Meriter Hospital, IncMadison, WI$1.2k$4.0k$4.4k$11.7k$1.3k
7Medical City MckinneyMcKinney, TX$1.9k$6.6k$8.2k$16.1k$5.6k
8Medical City Las ColinasIrving, TX$1.7k$6.6k$8.1k$25.0k$5.7k
9Medical City DentonArgyle, TX$1.8k$6.6k$8.1k$47.4k$5.7k
10Med City Spine HospitalDALLAS, TX$1.8k$6.6k$6.6k$28.7k—
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