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CDM 32000023

HC PLACE CATH ABD/PEL 1ST ORDER

Reported by 30 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

$92

Average

$2.6k

Median

$2.4k

High

$6.1k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$2.0k$6.0k$6.1k$6.9k$1.3k
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$158$198$198$5.6k$40
3Vanderbilt Bedford HospitalShelbyville, TN$158$158$158$5.6k—
4Memorial Hospital of Laramie CountyCheyenne, WY$91$92$92$442$1
5Baylor Scott & White Medical Center - TempleTemple, TX$341$3.1k$3.1k$3.9k$786
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$365$2.4k$2.4k$3.4k—
7Baylor Scott & White Medical Center - TaylorTaylor, TX$365$3.1k$3.1k$3.9k$786
8Baylor Scott & White Medical Center - HillcrestWaco, TX$341$3.1k$3.1k$3.9k$786
9Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$341$2.4k$2.4k$2.8k—
10Baylor Scott & White Medical Center - Round RockRound Rock, TX$341$3.1k$3.1k$3.9k$786
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