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CPT 27486

REVISE/REPLACE KNEE JOINT

Reported by 50 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

$14.5k

Median

$12.8k

High

$33.5k

Hospitals reporting this code

#HospitalLocation
1VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$11.3k—
2VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$11.3k—
3IOM Health System LPFort Wayne, IN$12.0k$21.7k$20.5k$55.8k$4.0k
4Bluffton Health System LLCBluffton, IN$12.0k$19.4k$19.1k$55.8k$4.7k
5Dukes Health System LLCPeru, IN$705$1.3k$1.4k$5.3k$370
6Warsaw Health System LLCWarsaw, IN$12.9k$23.3k$22.1k$55.8k$4.0k
7Lutheran Musculoskeletal Center LLCFort Wayne, IN$12.0k$21.7k$20.6k$55.8k$4.3k
8St. Joseph Health System, LLCIN 46802, IN$860$19.4k$17.6k$55.8k$7.1k
9Dupont Hospital LLCIN 46825, IN$1.3k$21.7k$23.8k$112.6k$15.5k
10Wesley Health System LLCHattiesburg, MS$1.2k$10.5k$11.8k$77.8k$4.5k
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