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CPT 616T

INSERTION OF IRIS PROSTHESIS

Reported by 65 hospitals in the network.

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.

National pricing summary

Low

$0

Average

$7.7k

Median

$6.8k

High

$27.6k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1VHS Harper-Hutzel Hospital IncDetroit, MI$0$0——$0$0
2VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0——$0$0
3Vhs Of Arrowhead, IncPhoenix, AZ$4.1k$3.8k$576—$2.6k$4.2k
4Vhs Of Phoenix IncPhoenix, AZ$4.1k$3.8k$576—$2.6k$4.2k
5VHS Acquisition Subsidiary Number 1 IncCave Creek, AZ$3.9k$3.6k$581—$2.6k$4.2k
6Vhs Of Arrowhead, IncGlendale, AZ$3.7k$3.5k$610—$2.6k$4.2k
7Vhs Of Arrowhead, IncSurprise, AZ$3.7k$3.5k$610—$2.6k$4.2k
8SMSJ Tucson Holdings LLCTucson, AZ$3.2k$3.5k$901—$2.8k$5.1k
9Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$2.9k$2.8k$649—$1.7k$4.0k
10Amisub of South Carolina, Inc.Fort Mill, SC$3.1k$3.1k——$3.1k$3.1k
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