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CPT 27538

PR CLOSED RX TIB TUBER FX (BILAT)

Reported by 73 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

$142

Average

$3.0k

Median

$547

High

$37.0k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$415$2.0k$2.0k$2.7k$673
2Northwest Iowa Hospital CorporationSioux City, IA$380$571$571$1.4k$190
3St Luke's Methodist HospitalCedar Rapids, IA$178$246$240$597$52
4University of Iowa Health Care Medical Center DowntownIowa City, IA$0$246$776$3.4k$811
5Meriter Hospital, IncMadison, WI$195$493$696$3.0k$588
6Central Iowa Hospital CorporationDes Moines, IA$167$203$197$584$21
7Central Iowa Hospital CorporationDes Moines, IA$132$183$179$616$39
8Allen Memorial Hospital CorporationWaterloo, IA$199$839$819$925$110
9University of Iowa Health Care Medical CenterIowa City, IA$0$246$787$3.4k$818
10UnityPoint Health MarshalltownMarshalltown, IA$226$1.0k$885$1.1k$260
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