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CPT C9781

Arthro/shoul surg- w/spacer

Reported by 26 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

$9.2k

Average

$14.1k

Median

$13.1k

High

$24.8k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$9.8k$14.6k$24.8k$47.5k$14.3k
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$12.3k$13.0k$12.9k$14.3k$489
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$10.8k$13.0k$12.9k$15.1k$1.3k
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$10.4k$13.0k$13.1k$14.9k$1.1k
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$12.0k$13.0k$13.3k$14.3k$606
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$12.0k$13.0k$13.4k$15.1k$738
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$12.9k$24.4k$23.1k$35.4k$8.1k
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$6.4k$12.8k$12.7k$33.6k$6.0k
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$10.5k$13.0k$13.0k$14.3k$1.1k
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$12.9k$17.2k$17.3k$21.7k$4.1k
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