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CPT 68801

Dilation Lacrimal Punctum W/WO Irrgation

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

$1.5k

Median

$286

High

$8.9k

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL—$2.7k$2.7k——
2Northwestern Memorial HospitalChicago, IL$4.0k$8.9k$8.9k$4.5k—
3VHS Harper-Hutzel Hospital IncDetroit, MI$0$0$0$1.1k—
4VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0$0$1.1k—
5Bluffton Health System LLCBluffton, IN$419$674$664$1.9k$163
6Saint Alphonsus Regional Medical Center - BoiseBoise, ID$62$4.2k$4.6k$25.3k$2.3k
7Vanderbilt Wilson County HospitalLebanon, TN$194$374$286$792$251
8Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$158$374$305$792$261
9Vanderbilt University Medical CenterNashville, TN$230$374$266$792$268
10Vanderbilt Bedford HospitalShelbyville, TN$158$374$305$792$261
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