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  4. /053-2
  5. /Case rate

APR-DRG 053-2

SEIZURE

Reported by 14 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

$1.6k

Average

$4.6k

Median

$4.2k

High

$8.7k

Hospitals reporting this code

#HospitalLocation
1Natchez Hospital Company LLCNatchez, MS$4.2k$4.2k$4.2k$4.5k$104
2Wesley Health System LLCHattiesburg, MS$4.2k$4.2k$4.2k$4.5k$108
3Jackson HMA LLCMS 39204, MS$4.2k$4.2k$4.2k$4.5k$100
4Vicksburg Healthcare LLCVicksburg, MS$4.2k$4.2k$4.2k$4.5k$108
5Brandon HMA LLCBrandon, MS$4.2k$4.2k$4.2k$4.5k$104
6River Oaks Hospital LLCFlowood, MS$4.2k$4.2k$4.5k$6.7k$771
7Mat-Su Valley Medical Center LLCAK 99645, AK$8.7k$8.7k$8.7k$8.7k—
8Palmdale Regional Medical CenterPalmdale, CA—$5.5k$5.9k—$766
9Temecula Valley HospitalTemecula, CA—$5.6k$5.6k—$149
10Southwest HealthcareTemecula, CA—$5.6k$5.6k—$149
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