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CPT C9901

Endo defect closure gi tract

Reported by 27 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

$7.1k

Average

$11.7k

Median

$11.0k

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$436
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$8.9k$10.8k$10.6k$12.5k$1.1k
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$8.5k$10.8k$10.9k$12.3k$850
5Benefis Hospitals IncFalls, MT$7.1k$7.1k$7.1k$7.1k—
6IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$9.4k$10.8k$10.9k$11.8k$600
7IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$9.4k$10.8k$11.1k$12.5k$689
8Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$10.4k$19.8k$18.7k$28.6k$6.5k
9Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$6.4k$10.4k$11.7k$27.2k$4.9k
10IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$8.5k$10.8k$10.7k$11.8k$1.0k
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