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HCPCS 67225

Destruction of vascular growth between retina and sclera by photodynamic therapy for second eye at 1 session

Reported by 19 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

$279

Average

$1.7k

Median

$2.1k

High

$3.5k

Hospitals reporting this code

#HospitalLocation
1Spring Valley Hospital Medical CenterLas Vegas, NV—$2.4k$2.1k—$2.1k
2Valley Health Speciality HospitalLas Vegas, NV—$2.2k$2.1k—$2.2k
3Summerlin Hospital Medical CenterLas Vegas, NV—$2.2k$2.1k—$2.2k
4West Henderson HospitalNV 89052, NV—$2.2k$2.1k—$2.2k
5Henderson HospitalHenderson, NV—$2.2k$2.1k—$2.2k
6Centennial HillsLas Vegas, NV—$2.2k$2.1k—$2.2k
7McAllen Hospitals, LPMcAllen, TX—$279$279——
8McAllen Hospitals, LPEdinburg, TX—$279$279——
9Northwest Texas Healthcare System, Inc.Amarillo, TX—$734$734——
10The George Washington University HospitalWashington, DC—$636$1.1k—$844
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