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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 26 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$0

Average

$16.6k

Median

$14.7k

High

$43.2k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical CenterIowa City, IA$10.7k$10.9k$10.9k$24.8k$218
2Virginia Mason Medical CenterSeattle, WA$8.6k$31.4k$31.4k$41.8k—
3Saint Alphonsus Regional Medical Center - BoiseBoise, ID$6.5k$30.3k$25.5k$45k$10.5k
4Saint Alphonsus Medical Center - NampaNampa, ID$5.6k$30.3k$25.5k$34.7k$10.5k
5St Joseph Mercy Ann ArborYpsilanti, MI$5.8k$21.8k$21.6k$26.0k$1.0k
6St Mary Mercy LivoniaLivonia, MI$6.3k$13.3k$13.3k$25.9k$1.1k
7Mercy Health Hackley CampusMuskogen, MI$6.4k$43.5k$42.7k$43.5k$4.6k
8St Joseph Mercy OaklandPontiac, MI$6.3k$18.4k$18.3k$26.5k$868
9Mercy Health Saint MarysGrand Rapids, MI$6.4k$19.6k$19.7k$23.1k$524
10Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$7.1k$27.4k$27.4k$54.5k—
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