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CPT 53400

Urethroplasty 1st Stg Fistula/Diverticulum/Strix

Reported by 38 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$0

Average

$4.6k

Median

$2.6k

High

$13.0k

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$425$13.0k$13.0k$7.5k—
2VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$7.2k—
3VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$7.2k—
4Naples HMA LLCNaples, FL$790$7.7k$9.7k$68.9k$6.8k
5Naples HMA LLCNaples, FL$790$7.7k$9.7k$68.9k$6.8k
6Mercy Health St Vincent Medical Center LlcToledo, OH$5.2k$5.2k$5.2k$5.3k$36
7Mercy Health Hackley CampusMuskogen, MI$1.7k$5.6k$5.6k$8.9k$1.7k
8Northside Hospital, Inc.Lawrenceville, GA$1.0k$9.0k$12.0k$50k$11.1k
9Northside Hospital, Inc.Canton, GA$1.0k$6.9k$10.7k$50k$12.0k
10Northside Hospital, Inc.Atlanta, GA$1.0k$9.1k$12.4k$50k$11.4k
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