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HCPCS 19357

Reconstruction of breast using tissue expander

Reported by 7 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

$1.0k

Average

$2.8k

Median

$2.5k

High

$4.1k

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$66$3.3k$3.2k$3.7k$418
2Sonora Community HospitalSonora, CA$142$3.5k$3.6k$3.7k$73
3Reedley Community HospitalReedley, CA$43$2.5k$2.5k$41.4k$533
4Adventist Health Mendocino CoastBragg, CA$60$4.1k$4.1k$4.1k—
5Lodi Memorial Hospital Association IncLodi, CA$709$2.4k$2.5k$36.4k$1.0k
6Hanford Community HospitalHanford, CA$60$1.0k$1.0k$17.7k—
7Willits Hospital IncWillits, CA$709$3.0k$2.5k$18.0k$1.1k

Look up this code directly

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