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CPT 52345

CYSTO/URETERO W/UP STRICTURE

Reported by 388 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

$6.0k

Median

$5.2k

High

$23.7k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$2.3k$3.4k$3.2k$8.0k$485
2Northwest Iowa Hospital CorporationSioux City, IA$2.2k$3.4k$3.3k$9.2k$434
3Medical Ctiy ArgyleArgyle, TX$1.1k$5.7k$6.4k$10.9k$2.4k
4Medical City AllianceSAGINAW, TX$1.1k$6.0k$5.8k$9.3k$1.8k
5St Luke's Methodist HospitalCedar Rapids, IA$3.0k$3.3k$3.3k$8.6k$48
6Trinity Medical CenterRock Island, IL$2.3k$3.7k$3.5k$9.8k$841
7Trinity Medical CenterBettendorf, IA$3.0k$3.3k$3.5k$8.9k$630
8Unity HealthcareMuscatine, IA$2.3k$3.2k$3.3k$10.4k$725
9Trinity Regional Medical CenterFort Dodge, IA$2.9k$3.3k$3.3k$9.1k$48
10Meriter Hospital, IncMadison, WI$354$2.3k$2.4k$10.9k$1.4k
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