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CPT 67966

Excision & Repair Eyelid One-Fourth Lid Margin

Reported by 59 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

$3.5k

Median

$2.7k

High

$11.8k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL—$2.1k$2.1k——
2Northwestern Memorial HospitalChicago, IL$4.0k$5.7k$5.7k$4.5k—
3Northwestern Medicine Delnor HospitalGeneva, IL$3.6k$1.9k$1.6k$4.0k$392
4VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$5.8k—
5VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$5.8k—
6IOM Health System LPFort Wayne, IN$525$4.0k$4.2k$30.7k$4.2k
7Bluffton Health System LLCBluffton, IN$700$3.1k$3.2k$20.6k$1.0k
8Dukes Health System LLCPeru, IN$346$598$644$2.8k$165
9Warsaw Health System LLCWarsaw, IN$2.4k$4.3k$4.1k$10.3k$734
10Lutheran Musculoskeletal Center LLCFort Wayne, IN$2.2k$4.0k$3.8k$10.3k$804
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