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CPT C9785

Endo outlet restrict w/tube

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

$7.0k

Average

$11.9k

Median

$11.1k

High

$19.7k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$7.9k$11.8k$19.7k$38.4k$11.4k
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$10.0k$10.8k$10.6k$11.6k$426
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$8.9k$11.0k$10.7k$12.5k$1.1k
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$8.2k$10.8k$10.9k$12.3k$1.0k
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$9.4k$10.8k$11.0k$11.8k$574
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$9.4k$10.8k$11.1k$12.5k$660
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$10.4k$19.8k$18.7k$28.6k$6.5k
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$6.4k$10.4k$11.7k$27.2k$4.9k
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$8.5k$10.8k$10.7k$11.8k$1.0k
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$10.5k$18.7k$17.6k$24.4k$6.6k
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