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CPT 31395

RECONSTRUCT LARYNX & PHARYNX

Reported by 295 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

$1

Average

$9.3k

Median

$7.3k

High

$26.5k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$14.5k$14.5k$14.5k$14.5k—
2Medical Ctiy ArgyleArgyle, TX$948$10.9k$12.0k$105.6k$8.6k
3Medical City AllianceSAGINAW, TX$2.1k$12.0k$12.9k$55.6k$6.3k
4Trinity Medical CenterRock Island, IL$14.5k$14.5k$14.5k$14.5k—
5Unity HealthcareMuscatine, IA$14.5k$14.5k$14.5k$14.5k—
6Meriter Hospital, IncMadison, WI$2.4k$8.8k$7.8k$14.2k$1.7k
7Medical City MckinneyMcKinney, TX$948$10.9k$12.1k$75.1k$8.6k
8Medical City Las ColinasIrving, TX$948$10.9k$11.2k$55.6k$7.2k
9Med City Heart HospitalDallas, TX$948$12.1k$12.1k$63.9k$7.7k
10Medical City DentonArgyle, TX$948$10.9k$12.0k$105.6k$8.6k
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