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CPT 93564

PR NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S&I

Reported by 125 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$43

Average

$3.1k

Median

$1.3k

High

$37.0k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$47$152$152$169—
2Northwest Iowa Hospital CorporationSioux City, IA$43$43$43$169—
3St Luke's Methodist HospitalCedar Rapids, IA$757$1.2k$1.1k$1.3k$226
4University of Iowa Health Care Medical Center DowntownIowa City, IA$47$233$218$537$46
5University of Iowa Health Care Medical CenterIowa City, IA$47$233$221$537$43
6Med City Heart HospitalDallas, TX$195$1.1k$1.2k$20.8k$687
7Med City Spine HospitalDALLAS, TX$195$1.1k$1.2k$20.8k$687
8Medical City DallasDallas, TX$195$1.4k$1.3k$20.8k$768
9Hca Houston Healthcare Medical CenterHouston, TX$432$1.2k$1.7k$5.8k$1.3k
10HCA Houston Rehabilitation Hospital SoutheastPasadena, TX$300$11.5k$15.2k$34.6k$10.3k
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