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CPT Q4195

Puraply 1 sq cm

Reported by 49 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

$71

Average

$193

Median

$109

High

$528

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$71$71$105$253$58
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$71$71$101$253$63
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$71$71$97$253$60
4Benefis Hospitals IncFalls, MT$127$197$189$369$49
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$71$71$93$212$32
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$71$71$105$253$66
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$50$118$118$118—
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$71$71$79$212$31
9IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$71$71$105$253$67
10IHC Health Services Inc., DBA Intermountain Health Layton HospitalLayton, UT$71$71$109$253$58
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