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CPT 55970

SEX TRANSFORMATION M TO F

Reported by 347 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$11

Average

$7.3k

Median

$5.7k

High

$68.1k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$4.8k$5.0k$5.0k$11.4k$217
2Northwest Iowa Hospital CorporationSioux City, IA$4.9k$5.0k$5.0k$13.2k$72
3Medical Ctiy ArgyleArgyle, TX$948$6.6k$11.9k$28.3k$10.2k
4Medical City AllianceSAGINAW, TX$2.1k$17.2k$13.3k$24.3k$7.9k
5St Luke's Methodist HospitalCedar Rapids, IA$4.7k$4.7k$4.7k$12.3k$69
6Trinity Medical CenterRock Island, IL$4.8k$5.2k$5.5k$14.0k$870
7Trinity Medical CenterBettendorf, IA$4.6k$4.8k$5.1k$12.7k$902
8Unity HealthcareMuscatine, IA$4.6k$4.7k$5.0k$14.8k$862
9Trinity Regional Medical CenterFort Dodge, IA$4.6k$4.7k$4.7k$13.0k$68
10Meriter Hospital, IncMadison, WI$4.8k$4.8k$4.8k$4.8k—
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