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CPT L4210

HC Repair Orthotic Device Repair or Replace Minor Parts Restricted Non-Mm Supply

Reported by 24 hospitals in the network.

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.

National pricing summary

Low

$18

Average

$83

Median

$21

High

$842

Hospitals reporting this code

#HospitalLocation
1Saint Alphonsus Regional Medical Center - BoiseBoise, ID$31$51$56$72$8
2Saint Alphonsus Medical Center - NampaNampa, ID$32$51$55$65$7
3Saint Alphonsus Medical Center - OntarioOntario, OR$19$22$29$70$16
4Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$52$86$75$86$16
5Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$131$404$398$706$165
6St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$86$86$86$86—
7Mary Hitchcock Memorial HospitalLebanon, NH$6$56$842$5.7k$2.0k
8Baylor Scott & White Medical Center - TempleTemple, TX$5$22$21$30$5
9Baylor Scott & White Medical Center - BrenhamBrenham, TX$4$20$18$30$8
10Baylor Scott & White Medical Center - TaylorTaylor, TX$6$21$19$26$7
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