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CPT 54406

Rmvl Inflatable Penile Prosth W/O Rplcmt Prosth

Reported by 51 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

$3.7k

High

$20.3k

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$5.9k$8.8k$8.8k$6.6k—
2Northwestern Medicine Kishwaukee HospitalDeKalb, IL—$4.4k$5.3k—$1.4k
3VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$7.2k—
4VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$7.2k—
5IOM Health System LPFort Wayne, IN$3.3k$6.0k$5.6k$15.3k$1.1k
6Bluffton Health System LLCBluffton, IN$3.3k$5.3k$5.2k$15.3k$1.3k
7Dukes Health System LLCPeru, IN$371$627$599$2.0k$107
8Warsaw Health System LLCWarsaw, IN$3.5k$6.4k$6.1k$15.3k$1.1k
9Lutheran Musculoskeletal Center LLCFort Wayne, IN$3.3k$6.0k$5.7k$15.3k$1.2k
10St. Joseph Health System, LLCIN 46802, IN$452$5.3k$4.9k$15.3k$1.7k
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