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CDM 32000119

HC XR ABSCS SINUS FISTULA SI

Reported by 3 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

$75

Average

$2.5k

Median

$578

High

$6.9k

Hospitals reporting this code

#HospitalLocation
1Memorial Hospital of Laramie CountyCheyenne, WY$569$578$578$913$8
2Baylor University Medical CenterDallas, TX$251$6.9k$6.9k$7.4k$556
3Baylor Scott & White Medical Center - Lake PointeRowlett, TX$50$75$75$542—

Look up this code directly

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