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CPT 56442

PR HYMENOTOMY, SIMPLE INCISION

Reported by 38 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

$38

Average

$9.0k

Median

$2.2k

High

$41.9k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$43$135$135$146—
2Northwest Iowa Hospital CorporationSioux City, IA$38$38$38$146—
3University of Iowa Health Care Medical Center DowntownIowa City, IA$0$27$85$206$88
4Central Iowa Hospital CorporationDes Moines, IA$1.5k$1.8k$1.8k$7.7k$191
5Central Iowa Hospital CorporationDes Moines, IA$1.2k$1.6k$1.6k$8.2k$352
6University of Iowa Health Care Medical CenterIowa City, IA$0$27$85$734$88
7Northwestern Medicine Central DuPage HospitalIL 60190, IL—$10.9k$11.9k—$6.5k
8Northwestern Memorial HospitalChicago, IL—$18.9k$14.1k—$6.0k
9Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$3.6k$7.2k$8.1k$9.1k$3.6k
10Palos Community HospitalPalos Heights, IL$3.6k$10.6k$10.4k$4.0k$5.3k
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