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HCPCS 27310

ARTHROTOMY KNEE W/EXP 450

Reported by 6 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$2.1k

Average

$3.7k

Median

$2.5k

High

$6.8k

Hospitals reporting this code

#HospitalLocation
1Northwest Texas Healthcare System, Inc.Amarillo, TX—$1.5k$2.5k—$2.0k
2Northwest Texas Healthcare SystemAmarillo, TX—$1.5k$2.5k—$2.0k
3Corona Regional Medical CenterCorona, CA$32$7.1k$6.8k$10.3k$3.4k
4St. Mary's Regional Medical CenterEnid, OK—$2.1k$2.1k——
5Northwest Texas Healthcare System, Inc.Amarillo, TX—$1.5k$2.5k—$2.0k
6Tri-City Medical CenterOceanside, CA$511$6.2k$6.2k$6.8k$463

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