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CPT 67400

HB Orbitotomy W/O Bone Flap Expl W/WO Biopsy

Reported by 44 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

$2.9k

High

$12.4k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL—$2.8k$2.8k——
2Northwestern Memorial HospitalChicago, IL$5.9k$7.1k$7.1k$6.6k—
3Northwestern Medicine Delnor HospitalGeneva, IL$5.3k$1.7k$1.4k$5.9k$346
4Northwestern Lake Forest HospitalLake Forest, IL$5.3k$4.9k$4.9k$5.9k—
5VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$5.8k—
6VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$5.8k—
7Saint Marys HospitalWaterbury, CT$4.4k$14.0k$12.4k$14.0k$3.3k
8St Mary Mercy LivoniaLivonia, MI$2.0k$3.9k$4.2k$8.8k$1.5k
9Mount Carmel Grove CityGrove City, OH$632$14.1k$12.3k$14.1k$3.7k
10Northside Hospital, Inc.Lawrenceville, GA$1.3k$9.0k$11.7k$50k$11.2k
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