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  5. /Per diem
CPT 54401

INSERT SELF-CONTD PROSTHESIS

Reported by 27 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

$7.1k

Median

$4.5k

High

$27.4k

Hospitals reporting this code

#HospitalLocation
1Meriter Hospital, IncMadison, WI$9.1k$16.4k$16.1k$19.7k$3.6k
2Northwestern Memorial HospitalChicago, IL$425$4.0k$4.0k$18.4k$3.5k
3Tristar Centennial Medical CenterSPRING HILL, TN$1.3k$4.9k$4.7k$26.1k$563
4Tristar Summit Medical CenterMT JULIET, TN$1.3k$5.0k$4.8k$27.3k$641
5Tristar Ashland City Medical CenterAshland City, TN$1.3k$3.5k$3.6k$26.1k$282
6Tristar Horizon Medical CenterDICKSON, TN$1.3k$5.2k$4.9k$26.4k$720
7Tristar Hendersonville Medical CenterHENDERSONVILLE, TN$1.3k$5.5k$5.1k$28.5k$877
8Tristar Skyline Medical CenterNASHVILLE, TN$1.3k$4.7k$4.6k$25.8k$486
9Tristar Southern Hills Medical CenterANTIOCH, TN$1.3k$5.6k$5.2k$29.9k$904
10Tristar Stonecrest Medical CenterSmyrna, TN$1.3k$4.5k$4.5k$31.6k$409
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