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CPT 55980

SEX TRANSFORMATION F TO M

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

$6.6k

Median

$5.5k

High

$21.7k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$3.4k$3.5k$3.5k$8.0k$152
2Northwest Iowa Hospital CorporationSioux City, IA$3.4k$3.5k$3.5k$9.2k$50
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$3.3k$3.3k$3.3k$8.6k$48
6Trinity Medical CenterRock Island, IL$3.4k$3.7k$3.9k$9.8k$608
7Trinity Medical CenterBettendorf, IA$3.2k$3.3k$3.5k$8.9k$630
8Unity HealthcareMuscatine, IA$3.2k$3.3k$3.5k$10.4k$602
9Trinity Regional Medical CenterFort Dodge, IA$3.2k$3.3k$3.3k$9.1k$48
10Meriter Hospital, IncMadison, WI$3.3k$3.3k$3.3k$3.3k—
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