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CPT 69730

RPLC OI IMPLT SK TC ESP>=100

Reported by 32 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

$6.1k

Median

$5.9k

High

$14.8k

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.
1VHS Harper-Hutzel Hospital IncDetroit, MI$0$0——$0$933
2VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$0$0——$0$902
3Northside Hospital, Inc.Lawrenceville, GA$9.0k$9.5k$3.7k—$573$50k
4Northside Hospital, Inc.Canton, GA$6.9k$8.1k$4.3k—$573$50k
5Northside Hospital, Inc.Atlanta, GA$9.2k$9.7k$3.8k—$573$50k
6Northside Hospital, Inc.Duluth, GA$7.3k$8.5k$4.0k—$573$50k
7Northside Hospital, Inc.Cumming, GA$7.0k$8.2k$4.2k—$573$50k
8Santa Rosa Hospital - Westover HillsSan Antonio, TX$5.0k$5.0k——$4.0k$24.2k
9Southeast Texas Orthopedic Specialty CenterPort Arthur, TX$5.4k$5.4k$438—$3.8k$25.8k
10Christus Health Southeast TexasPort Arthur, TX$5.4k$5.4k$438—$3.8k$25.8k
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