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CPT 69643

REVISE MIDDLE EAR & MASTOID

Reported by 451 hospitals in the network under the case rate 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 negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$10

Average

$8.2k

Median

$8.0k

High

$23.5k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$4.8k$5.8k$5.8k$13.7k$410
2Northwest Iowa Hospital CorporationSioux City, IA$4.4k$5.9k$5.7k$15.8k$560
3Medical Ctiy ArgyleArgyle, TX$1.9k$9.8k$9.5k$15.4k$3.3k
4Medical City AllianceSAGINAW, TX$2.0k$9.2k$9.4k$14.4k$2.8k
5St Luke's Methodist HospitalCedar Rapids, IA$5.2k$5.7k$5.7k$14.7k$82
6Trinity Medical CenterRock Island, IL$4.6k$6.3k$6.4k$16.8k$1000
7Trinity Medical CenterBettendorf, IA$5.1k$5.7k$6.1k$15.2k$1.1k
8Unity HealthcareMuscatine, IA$5.1k$5.7k$5.9k$17.8k$932
9Trinity Regional Medical CenterFort Dodge, IA$5.0k$5.6k$5.6k$15.5k$82
10Meriter Hospital, IncMadison, WI$1.1k$5.7k$5.0k$14.2k$1.2k
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