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CPT 66985

Insj Io Lens Prosthesis Not W/Concurrent Rmvl

Reported by 50 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

$4.3k

Median

$3.5k

High

$12.4k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL—$3.9k$3.9k——
2Northwestern Memorial HospitalChicago, IL$4.0k$6.2k$6.2k$4.5k—
3VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$5.8k—
4VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$5.8k—
5IOM Health System LPFort Wayne, IN$2.2k$3.9k$3.7k$10.0k$713
6Bluffton Health System LLCBluffton, IN$2.2k$3.5k$3.4k$10.0k$843
7Dukes Health System LLCPeru, IN$362$625$613$2.0k$109
8Warsaw Health System LLCWarsaw, IN$2.3k$4.2k$4.0k$10.0k$712
9Lutheran Musculoskeletal Center LLCFort Wayne, IN$2.2k$3.9k$3.7k$10.0k$781
10St. Joseph Health System, LLCWayne, IN$469$4.2k$7.3k$69.6k$13.8k
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