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CPT 54416

PR REPLACE,PENILE PROSTHESIS

Reported by 541 hospitals in the network.

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.

National pricing summary

Low

$169

Average

$16.0k

Median

$14.6k

High

$100.8k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$651$2.0k$11.4k$46.5k$14.9k
2Northwest Iowa Hospital CorporationSioux City, IA$583$1.9k$12.9k$53.7k$17.2k
3St Luke'sJones Regional Medical CenterAnamosa, IA$651$1.4k$1.3k$2.2k$574
4Medical Ctiy ArgyleArgyle, TX$948$10.9k$22.3k$55.0k$19.0k
5Medical City AllianceSAGINAW, TX$2.5k$13.1k$23.5k$54.1k$17.7k
6St Luke's Methodist HospitalCedar Rapids, IA$651$2.1k$13.4k$50.1k$16.3k
7Trinity Medical CenterRock Island, IL$651$2.2k$13.2k$57.1k$16.7k
8Trinity Medical CenterBettendorf, IA$651$2.1k$14.0k$51.7k$17.1k
9University of Iowa Health Care Medical Center DowntownIowa City, IA$0$1.8k$1.4k$2.9k$944
10Unity HealthcareMuscatine, IA$651$1.9k$12.7k$60.5k$18.0k
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