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CPT 70190

HC XR OPTIC FORAMINA

Reported by 15 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

$81

Median

$94

High

$146

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.
1Vanderbilt Wilson County HospitalLebanon, TN$0$44$57—$43$591
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$31$52$60—$53$591
3Vanderbilt University Medical CenterNashville, TN$0$30$53—$52$591
4Vanderbilt Bedford HospitalShelbyville, TN$31$52$60—$53$591
5Benefis Community Hospitals, IncChoteau, MT$0$0——$0$0
6West Virginia University Hospitals, Inc.Morgantown, WV$88$100$31—$8$222
7Camden-Clark Memorial Hospital CorporationParkersburg, WV$87$99$20—$8$145
8Reynolds Memorial Hospital, Inc.Glen Dale, WV$87$94$20—$8$145
9Herbert J Thomas Memorial Hospital AssociationSouth Charleston, WV$88$146$118—$8$420
10Wetzel County Hospital, Inc.New Martinsville, WV$93$101$18—$8$156
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