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CPT 67145

Proph Retinal Dtchmnt W/O Drg Photocoagulation

Reported by 56 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

$2.4k

Median

$917

High

$16.1k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL—$5.3k$5.3k——
2Northwestern Memorial HospitalChicago, IL$1.1k$16.1k$16.1k$1.2k—
3VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$3.8k—
4VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$3.8k—
5Bluffton Health System LLCBluffton, IN$515$829$818$2.4k$201
6Porter Hospital LLCValparaiso, IN$178$1.7k$1.8k$6.7k$1.6k
7Saint Alphonsus Regional Medical Center - BoiseBoise, ID$228$4.5k$6.0k$27.0k$2.5k
8Saint Alphonsus Medical Center - Baker CityBaker City, OR$254$975$975$2.2k$94
9St Joseph Mercy Ann ArborYpsilanti, MI$307$550$569$1.3k$165
10St Francis Hospital IncGreenville, SC$4.0k$4.0k$4.0k$4.0k$18
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