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CPT 67412

Orbitotomy W/O Bone Flap W/Removal Lesion

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

$4.2k

Median

$3.3k

High

$11.9k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL—$3.3k$3.3k——
2Northwestern Memorial HospitalChicago, IL$2.0k$7.3k$7.3k$2.2k—
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL—$2.0k$2.4k—$622
4Northwestern Medicine Delnor HospitalGeneva, IL$2.3k$1.9k$1.6k$4.0k$394
5Northwestern Lake Forest HospitalLake Forest, IL$1.6k$6.0k$6.0k$2.0k—
6VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$5.8k—
7VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$5.8k—
8IOM Health System LPFort Wayne, IN$822$4.0k$4.3k$30.2k$3.7k
9Bluffton Health System LLCBluffton, IN$880$3.1k$3.4k$19.3k$847
10Dukes Health System LLCPeru, IN$399$689$675$2.2k$120
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