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CPT 64628

HC TRML DSTRJ IOS BVN 1ST 2 L/S

Reported by 608 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

Based on 2,684–3,350 billing samples across every hospital reporting.

Low

$354

Average

$11.8k

Median

$11.2k

High

$35.4k

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.
1Northwestern Memorial HospitalChicago, IL$38.6k$35.4k$21.4k1,219–1,408$7.2k$38.6k
2Northwestern Medicine Central DuPage HospitalWinfield, IL$26.7k$34.2k$24.9k735$2.7k$38.6k
3Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$21.1k$26.6k$16.0k660$7.1k$38.6k
4St Joseph Mercy OaklandPontiac, MI$16.2k$14.9k$4.5k17–170$888$29.5k
5Massachusetts General HospitalBoston, MA$13.5k$10.1k$5.6k23–77$1.1k$19.1k
6Catholic Health Initiatives ColoradoWest Jordan, UT$8.9k$8.5k$5.0k6–60$330$16.9k
7Brigham and Women's HospitalBoston, MA$14.2k$12.3k$5.0k6–60$1.1k$19.1k
8Mercy Health Saint MarysGrand Rapids, MI$176$1.1k$3.7k4–40$116$19.8k
9Granbury Hospital CorporationGranbury, TX$14.4k$31.2k$30.0k2–20$390$116.5k
10Catholic Health Initiatives ColoradoColorado Springs, CO$3.3k$6.9k$7.6k2–20$392$29.8k
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