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CPT C9604

PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF OR THROUGH CORONARY ARTERY BYPASS GRAFT (INTERNAL MAMMARY, FREE ARTERIAL, VENOUS), ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, ATHERECTOMY AND ANGIOPLASTY, INCLUDING DISTAL PROTECTION WHEN PERFORMED; SINGLE VESSEL

Reported by 47 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

Low

$2.0k

Average

$23.3k

Median

$16.0k

High

$88.3k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical CenterIowa City, IA$10.7k$20.4k$21.3k$24.8k$2.6k
2Agh Laveen LlcPhoenix, AZ$74.6k$94.4k$88.3k$96.0k$9.7k
3Agh Mesa LlcMesa, AZ$74.6k$94.4k$88.3k$96.0k$9.7k
4Virginia Mason Medical CenterSeattle, WA$8.6k$12.8k$22.3k$41.8k$12.3k
5Saint Marys HospitalWaterbury, CT$12.8k$23.8k$23.8k$41.0k—
6Saint Alphonsus Regional Medical Center - BoiseBoise, ID$6.5k$45k$45k$45k—
7Saint Francis Hospital and Medical CenterHartford, CT$12.4k$41.3k$37.8k$48.1k$4.6k
8Saint Alphonsus Medical Center - NampaNampa, ID$5.6k$30k$30k$34.7k—
9Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$7.1k$54.5k$51.6k$54.5k$8.8k
10St Mary Medical CenterLanghorne, PA$2.0k$5.7k$4.8k$33.7k$1.5k
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