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CPT 57170

FITTING OF DIAPHRAGM/CAP

Reported by 373 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

$10

Average

$2.2k

Median

$1.8k

High

$19.7k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$177$202$210$465$16
2Northwest Iowa Hospital CorporationSioux City, IA$178$203$203$537$3
3Medical Ctiy ArgyleArgyle, TX$35$1.8k$2.1k$6.6k$1.4k
4Medical City AllianceSAGINAW, TX$36$1.8k$2.4k$6.6k$1.4k
5St Luke's Methodist HospitalCedar Rapids, IA$177$193$193$501$3
6Trinity Medical CenterRock Island, IL$157$220$228$571$32
7Trinity Medical CenterBettendorf, IA$173$195$207$517$37
8Unity HealthcareMuscatine, IA$174$195$211$605$34
9Trinity Regional Medical CenterFort Dodge, IA$171$192$192$528$3
10Meriter Hospital, IncMadison, WI$28$140$237$3.9k$350
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