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CPT 64473

LWR XTR FSCL PLN BLK UNI NJX

Reported by 61 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$0

Average

$10.0k

Median

$2.8k

High

$143.6k

Hospitals reporting this code

#HospitalLocation
1Porter Hospital LLCValparaiso, IN$52$119.9k$119.9k$119.9k—
2River Oaks Hospital LLCFlowood, MS$103$154.4k$143.6k$205.9k$72.7k
3Northwest Sahurita Hospital LLCTucson, AZ$52$17.6k$14.9k$73.1k$10.0k
4Northwest Sahurita Hospital LLCSahuarita, AZ$52$17.6k$14.9k$73.1k$10.0k
5Oro Valley Hospital LLCTucson, AZ$52$16.3k$20.4k$102.0k$18.4k
6Northwest Hospital LLCTucson, AZ$52$15.5k$19.4k$96.9k$17.5k
7Jefferson County HMA LLCJefferson City, TN$104$617$617$82.7k$122
8Metro Knoxville HMA LLCKnoxville, TN$104$14.9k$17.2k$38.2k$16.8k
9Metro Knoxville HMA LLCPowell, TN$104$16.9k$19.4k$61.1k$19.1k
10Bullhead City Hospital CorporationCity, AZ$53$29.7k$32.1k$186.9k$25.2k
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