Setting Surgical/Procedure Pricing

I am seeking guidance for creating a standard method of setting pricing for surgical procedures performed in the hosptial setting (OR).

For most ancillary procedures we use a mark-up calculation based on the reimbursement of the CPT. However, most of our surgical CDMs are Soft-Coded.

I realize this can be a very broad topic. I'm prepared for numerous and varied responses.

I will appreciate any responses.


  • Using per minute charges for OR procedures is an option, soft coding then pushes the CPT to the claim but it does not impact the price.

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