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CPT 43625

Descriptor not available

Reported by 5 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

$30.6k

Average

$33.7k

Median

$33.4k

High

$37.0k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Northside Hospital, Inc.Lawrenceville, GA$35k$37.0k$10.5k—$5.3k$50k
2Northside Hospital, Inc.Canton, GA$34.9k$33.4k$9.0k—$5.3k$50k
3Northside Hospital, Inc.Atlanta, GA$32.4k$30.6k$6.3k—$5.3k$50k
4Northside Hospital, Inc.Duluth, GA$35k$37.0k$10.5k—$5.3k$50k
5Northside Hospital, Inc.Cumming, GA$32.4k$30.6k$6.3k—$5.3k$50k

Look up this code directly

Ask Claude or any MCP client for CPT 43625 pricing at a specific hospital — see how to connect.

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