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CPT L3763

SPLINT CUSTOM FABRICATED - ELBOW EWHO

Reported by 50 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$249

Average

$912

Median

$932

High

$1.4k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$313$365$361$418$33
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$185$556$471$995$141
3Saint Alphonsus Medical Center - NampaNampa, ID$161$542$458$1.4k$144
4Saint Alphonsus Medical Center - OntarioOntario, OR$105$185$249$847$141
5Saint Alphonsus Medical Center - Baker CityBaker City, OR$105$272$366$606$136
6St Joseph Mercy ChelseaChelsea, MI$555$1.4k$1.3k$2.1k$430
7St Joseph Mercy Ann ArborYpsilanti, MI$535$1.6k$1.4k$2.1k$462
8St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - BrightonBrighton, MI$468$1.7k$1.4k$2.1k$514
9Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$708$921$1.3k$2.8k$572
10Plymouth Medical CenterPlymouth, IN$291$776$809$1.7k$157
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