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  4. /Q4172
  5. /Fee schedule
HCPCS Q4172

Puraply or puraply am, per square centimeter

Reported by 89 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$70

Average

$360

Median

$260

High

$1.3k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Medical Ctiy ArgyleArgyle, TX$509$509——$509$509
2Medical City AllianceSAGINAW, TX$509$509——$509$509
3Medical City MckinneyMcKinney, TX$509$509——$509$509
4Medical City Las ColinasIrving, TX$509$509——$509$509
5Med City Heart HospitalDallas, TX$509$509——$509$509
6Medical City DentonArgyle, TX$509$509——$509$509
7Med City Spine HospitalDALLAS, TX$509$509——$509$509
8Medical City Surgery City AllianceFT WORTH, TX$509$509——$509$509
9Medical City DallasDallas, TX$509$509——$509$509
10Medical City ArlingtonRED OAK, TX$509$509——$509$509
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