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CPT 54865

Exploration Epididymis W/WO Biopsy

Reported by 35 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

$3.7k

Median

$1.5k

High

$12.0k

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$4.0k$7.2k$7.2k$4.5k—
2VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$5.8k—
3VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$5.8k—
4St Mary Medical CenterLanghorne, PA$86$4.4k$5.4k$10.3k$1.9k
5Mount Carmel Grove CityGrove City, OH$632$12.7k$11.0k$12.7k$3.3k
6Northside Hospital, Inc.Lawrenceville, GA$472$9.0k$11.6k$50k$11.3k
7Northside Hospital, Inc.Canton, GA$472$6.1k$10.3k$50k$12.1k
8Northside Hospital, Inc.Atlanta, GA$472$9.1k$12.0k$50k$11.7k
9Northside Hospital, Inc.Duluth, GA$472$6.5k$10.6k$50k$11.6k
10Northside Hospital, Inc.Cumming, GA$472$6.6k$10.5k$50k$12.1k
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