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CPT 95991

PR RFL&MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP

Reported by 575 hospitals in the network.

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.

National pricing summary

Low

$58

Average

$895

Median

$375

High

$11.5k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$36$149$213$682$189
2Northwest Iowa Hospital CorporationSioux City, IA$36$103$228$788$227
3St Luke'sJones Regional Medical CenterAnamosa, IA$36$78$69$106$28
4Medical Ctiy ArgyleArgyle, TX$19$217$919$2.6k$949
5Medical City AllianceSAGINAW, TX$97$2.2k$1.8k$2.6k$831
6St Luke's Methodist HospitalCedar Rapids, IA$36$105$227$735$211
7Trinity Medical CenterRock Island, IL$36$178$235$838$208
8Trinity Medical CenterBettendorf, IA$36$245$242$758$213
9University of Iowa Health Care Medical Center DowntownIowa City, IA$36$291$269$487$170
10Unity HealthcareMuscatine, IA$36$178$226$887$213
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