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CPT L3764

HC Ewho With Joints Custom Fabricated Restricted Non-Mm Supply

Reported by 9 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

$83

Average

$974

Median

$959

High

$1.5k

Hospitals reporting this code

#HospitalLocation
1Saint Alphonsus Regional Medical Center - BoiseBoise, ID$208$625$529$1.1k$158
2St Joseph Mercy ChelseaChelsea, MI$580$1.5k$1.4k$2.2k$451
3St Joseph Mercy Ann ArborYpsilanti, MI$560$1.7k$1.5k$2.2k$484
4St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - BrightonBrighton, MI$490$1.7k$1.4k$2.2k$538
5Samaritan HospitalTroy, NY$46$61$83$2.4k$35
6Benefis Hospitals IncFalls, MT$926$1.3k$1.3k$1.4k$95
7Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$315$975$959$1.7k$399
8Mary Hitchcock Memorial HospitalLebanon, NH$144$843$841$3.3k$296
9Cheshire Medical CenterKeene, NH$161$934$826$2.4k$313

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