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CPT 54416

Rmvl & Rplcmt Non-Nfltbl/Nfltbl Penile Prosthesi

Reported by 37 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

$6.4k

Median

$2.5k

High

$28.0k

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$7.5k$22.2k$22.2k$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—
4Affinity Hospital LLCBirmingham, AL$645$3.5k$9.9k$234.0k$8.8k
5Gadsden Regional Medical Center LLCGadsden, AL$645$18.6k$17.3k$151.3k$5.7k
6HMA Santa Rosa Medical Center LLCMilton, FL$8.7k$18.5k$28.0k$65.2k$22.6k
7Bon Secours Mercy Health Petersburg LlcPetersburg, VA$20.2k$20.2k$20.4k$20.6k$198
8Northside Hospital, Inc.Lawrenceville, GA$933$9.2k$14.7k$50k$11.7k
9Northside Hospital, Inc.Canton, GA$933$7.5k$13.7k$50k$12.9k
10Northside Hospital, Inc.Atlanta, GA$933$9.8k$15.4k$50k$12.0k
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