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CPT 67145

PR PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION

Reported by 644 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

$51

Average

$2.2k

Median

$1.1k

High

$55.0k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$194$544$747$3.0k$553
2Northwest Iowa Hospital CorporationSioux City, IA$194$522$664$1.5k$459
3St Luke'sJones Regional Medical CenterAnamosa, IA$194$405$626$1.5k$495
4Medical Ctiy ArgyleArgyle, TX$118$1.6k$1.7k$4.3k$1.0k
5Medical City AllianceSAGINAW, TX$120$1.6k$1.6k$4.3k$955
6St Luke's Methodist HospitalCedar Rapids, IA$194$519$668$1.5k$456
7Trinity Medical CenterRock Island, IL$194$600$683$1.6k$438
8Trinity Medical CenterBettendorf, IA$194$516$657$1.5k$464
9University of Iowa Health Care Medical Center DowntownIowa City, IA$0$1.1k$830$1.7k$659
10Unity HealthcareMuscatine, IA$194$516$676$1.6k$465
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