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CPT 53431

RECONSTRUCT URETHRA/BLADDER

Reported by 381 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

$5.9k

Median

$5.2k

High

$21.8k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$2.9k$5.1k$5.2k$11.7k$1.0k
2Northwest Iowa Hospital CorporationSioux City, IA$2.0k$5.1k$4.7k$13.6k$1.1k
3Medical Ctiy ArgyleArgyle, TX$948$3.8k$4.5k$13.2k$2.5k
4Medical City AllianceSAGINAW, TX$1.7k$4.9k$5.1k$11.9k$2.4k
5St Luke's Methodist HospitalCedar Rapids, IA$4.5k$4.9k$4.9k$12.7k$71
6Trinity Medical CenterRock Island, IL$4.0k$5.6k$5.9k$14.4k$901
7Trinity Medical CenterBettendorf, IA$4.4k$4.9k$5.2k$13.1k$929
8Unity HealthcareMuscatine, IA$4.4k$4.9k$5.5k$15.3k$1.0k
9Trinity Regional Medical CenterFort Dodge, IA$4.3k$4.9k$4.9k$13.3k$70
10Meriter Hospital, IncMadison, WI$1.0k$4.9k$4.6k$14.2k$999
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