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CPT 67113

Rpr Complex Retina Detach Vitrect &Membrane Peel

Reported by 49 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

$6.9k

Median

$5.9k

High

$17.7k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL—$5.8k$5.8k——
2Northwestern Memorial HospitalChicago, IL$6.9k$12.3k$12.3k$7.7k—
3Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$6.2k$5.0k$5.0k$6.8k—
4VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$8.2k—
5VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$8.2k—
6IOM Health System LPFort Wayne, IN$1.1k$4.0k$8.3k$37.8k$8.5k
7St. Joseph Health System, LLCWayne, IN$1.2k$4.0k$17.7k$106.8k$30.0k
8Mercy Health Youngstown LlcWarren, OH$5.0k$5.0k$5.0k$5.1k$35
9Mercy Health Youngstown LlcYoungstown, OH$5.0k$5.0k$5.0k$5.1k$35
10Mercy Health St Vincent Medical Center LlcToledo, OH$5.2k$5.2k$5.2k$5.3k$34
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