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HCPCS V2311

Lens sphc trifo 7.25-12/.25-

Reported by 38 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

$109

Average

$157

Median

$147

High

$233

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.
1The Finley HospitalDubuque, IA$112$206$176—$107$535
2Northwest Iowa Hospital CorporationSioux City, IA$111$111$2—$109$215
3St Luke's Methodist HospitalCedar Rapids, IA$111$111$2—$109$215
4Trinity Medical CenterRock Island, IL$132$221$165—$119$535
5Trinity Medical CenterBettendorf, IA$112$119$21—$109$215
6Unity HealthcareMuscatine, IA$150$233$153—$143$535
7Trinity Regional Medical CenterFort Dodge, IA$148$148$2—$145$215
8Meriter Hospital, IncMadison, WI$126$126——$126$126
9Central Iowa Hospital CorporationDes Moines, IA$111$111$2—$109$215
10Central Iowa Hospital CorporationDes Moines, IA$111$111$2—$109$215
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