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CPT 55980

PR INTERSEX SURG FEMALE MALE

Reported by 8 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$8.2k

Average

$31.1k

Median

$32.0k

High

$63.9k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$0$2.8k$8.2k$20.6k$8.7k
2University of Iowa Health Care Medical CenterIowa City, IA$0$2.8k$8.3k$20.6k$8.8k
3Northwestern Memorial HospitalChicago, IL$973$75.6k$63.9k$1.1k$28.5k
4Northside Hospital, Inc.Lawrenceville, GA$3.1k$35k$37.0k$50k$10.5k
5Northside Hospital, Inc.Canton, GA$3.1k$34.9k$33.4k$50k$9.0k
6Northside Hospital, Inc.Atlanta, GA$3.1k$32.4k$30.6k$50k$6.3k
7Northside Hospital, Inc.Duluth, GA$3.1k$35k$37.0k$50k$10.5k
8Northside Hospital, Inc.Cumming, GA$3.1k$32.4k$30.6k$50k$6.3k

Look up this code directly

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