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  5. /Per diem
CPT 54400

INSERT SEMI-RIGID PROSTHESIS

Reported by 22 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$365

Average

$2.9k

Median

$1.1k

High

$16.1k

Hospitals reporting this code

#HospitalLocation
1Meriter Hospital, IncMadison, WI$8.7k$16.4k$16.1k$19.7k$3.6k
2Tristar Centennial Medical CenterSPRING HILL, TN$1.3k$2.3k$2.3k$26.1k$76
3Tristar Summit Medical CenterMT JULIET, TN$1.3k$2.3k$2.4k$27.3k$90
4Tristar Ashland City Medical CenterAshland City, TN$1.3k$1.6k$1.8k$26.1k$361
5Tristar Horizon Medical CenterDICKSON, TN$1.3k$2.4k$2.4k$26.4k$114
6Tristar Hendersonville Medical CenterHENDERSONVILLE, TN$1.3k$2.5k$2.5k$28.5k$175
7Tristar Skyline Medical CenterNASHVILLE, TN$1.3k$2.3k$2.3k$25.8k$79
8Tristar Southern Hills Medical CenterANTIOCH, TN$1.3k$2.5k$2.5k$29.9k$186
9Tristar Stonecrest Medical CenterSmyrna, TN$1.3k$2.2k$2.2k$31.6k$97
10Methodist Hospital AtascosaJourdanton, TX$365$365$365$365—
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