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CPT 30468

RPR NSL VLV COLLAPSE W/IMPLT

Reported by 337 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

$8.4k

Median

$7.8k

High

$27.2k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$834$5.8k$4.7k$13.7k$2.0k
2Northwest Iowa Hospital CorporationSioux City, IA$5.9k$6.0k$6.0k$15.8k$86
3Medical Ctiy ArgyleArgyle, TX$2.1k$10.5k$8.9k$15.9k$4.2k
4Medical City AllianceSAGINAW, TX$2.1k$8.8k$8.1k$14.4k$3.5k
5St Luke's Methodist HospitalCedar Rapids, IA$5.6k$5.7k$5.7k$14.7k$82
6Trinity Medical CenterRock Island, IL$834$6.3k$5.4k$16.8k$2.5k
7Trinity Medical CenterBettendorf, IA$5.6k$5.7k$6.1k$15.2k$1.1k
8Unity HealthcareMuscatine, IA$834$5.6k$5.0k$17.8k$2.3k
9Trinity Regional Medical CenterFort Dodge, IA$5.6k$5.6k$5.6k$15.5k$82
10Meriter Hospital, IncMadison, WI$153$5.7k$4.1k$14.2k$2.6k
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