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  5. /Case rate

APR-DRG 053-4

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

$4.7k

Average

$14.0k

Median

$12.6k

High

$27.2k

Hospitals reporting this code

#HospitalLocation
1Natchez Hospital Company LLCNatchez, MS$12.4k$12.5k$12.6k$13.3k$309
2Wesley Health System LLCHattiesburg, MS$12.4k$12.4k$12.5k$13.3k$321
3Jackson HMA LLCMS 39204, MS$12.4k$12.5k$12.5k$13.3k$298
4Vicksburg Healthcare LLCVicksburg, MS$12.4k$12.4k$12.5k$13.3k$321
5Brandon HMA LLCBrandon, MS$12.4k$12.5k$12.6k$13.3k$309
6River Oaks Hospital LLCFlowood, MS$12.4k$12.5k$13.4k$19.8k$2.3k
7Mat-Su Valley Medical Center LLCAK 99645, AK$27.2k$27.2k$27.2k$27.2k—
8Palmdale Regional Medical CenterPalmdale, CA—$17.0k$18.2k—$2.4k
9Temecula Valley HospitalTemecula, CA—$17.1k$17.1k—$459
10Southwest HealthcareTemecula, CA—$17.1k$17.1k—$459
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