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CPT D4231

Ana crown exp 1-3 per quad

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

$1.1k

Average

$1.8k

Median

$1.6k

High

$2.9k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$1.1k$1.7k$2.9k$5.5k$1.7k
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$1.4k$1.6k$1.5k$1.6k$73
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$1.3k$1.6k$1.6k$1.8k$163
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$1.2k$1.6k$1.6k$1.8k$149
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$1.4k$1.6k$1.6k$1.7k$88
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$1.4k$1.6k$1.6k$1.8k$101
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$1.5k$2.8k$2.7k$4.1k$929
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$1.5k$2.7k$2.7k$4.1k$1.3k
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$1.2k$1.6k$1.6k$1.7k$155
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$1.5k$1.5k$1.5k$1.5k$18
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