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CPT 69719

RPLCM OI IMPLT SK TC ESP<100

Reported by 365 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

Based on 2–20 billing samples across every hospital reporting.

Low

$10

Average

$10.4k

Median

$10.3k

High

$41.5k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Northwestern Memorial HospitalChicago, IL$8.4k$8.4k$4412–20$7.9k$8.8k
2The Finley HospitalDubuque, IA$12.6k$10.2k$4.3k—$3.0k$29.7k
3Northwest Iowa Hospital CorporationSioux City, IA$13.0k$13.0k$188—$11.4k$34.3k
4Medical Ctiy ArgyleArgyle, TX$10.8k$12.2k$9.1k—$948$39.4k
5Medical City AllianceSAGINAW, TX$17.2k$13.1k$7.0k—$2.1k$35.5k
6St Luke's Methodist HospitalCedar Rapids, IA$12.3k$12.3k$179—$11.3k$32.0k
7Trinity Medical CenterRock Island, IL$13.7k$12.0k$5.1k—$3.0k$36.5k
8Trinity Medical CenterBettendorf, IA$12.5k$13.2k$2.4k—$11.1k$33.0k
9Unity HealthcareMuscatine, IA$12.1k$11.0k$4.5k—$3.0k$38.7k
10Trinity Regional Medical CenterFort Dodge, IA$12.3k$12.3k$178—$11.0k$33.8k
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