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CPT 54401

Insj Penile Prosthesos Inflatable Self-Contained

Reported by 43 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

$9.8k

Median

$3.7k

High

$58.0k

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$425$25.5k$25.5k$18.4k—
2VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$11.1k—
3VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$11.1k—
4Dupont Hospital LLCIN 46825, IN$610$37.3k$58.0k$135.7k$43.5k
5Metro Knoxville HMA LLCKnoxville, TN$605$21.2k$21.1k$53.5k$18.5k
6Metro Knoxville HMA LLCPowell, TN$605$21.2k$20.0k$68.2k$16.9k
7Affinity Hospital LLCBirmingham, AL$599$3.5k$9.9k$241.5k$8.8k
8Gadsden Regional Medical Center LLCGadsden, AL$599$18.6k$17.3k$152.3k$5.7k
9East Georgia Regional Medical Center LLCGA 30458, GA$625$22.2k$28.0k$102.7k$20.3k
10HMA Santa Rosa Medical Center LLCMilton, FL$8.7k$18.5k$28.0k$65.2k$22.6k
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