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CPT L3806

Whfo w/joint(s) custom fab

Reported by 42 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$430

Average

$696

Median

$714

High

$1.2k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$340$486$725$1.7k$441
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$114$611$600$611$49
3Saint Alphonsus Medical Center - NampaNampa, ID$99$611$604$893$59
4Saint Alphonsus Medical Center - OntarioOntario, OR$65$521$521$521—
5St Joseph Mercy ChelseaChelsea, MI$337$1.0k$939$1.3k$203
6St Joseph Mercy Ann ArborYpsilanti, MI$326$1.3k$1.1k$1.3k$309
7St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - BrightonBrighton, MI$285$1.2k$1.0k$1.3k$250
8Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$405$514$615$1.6k$181
9Plymouth Medical CenterPlymouth, IN$256$1.0k$931$1.0k$229
10Mishawaka Medical CenterMishawaka, IN$246$1.0k$931$1.0k$229
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