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CDM 3359641301

HC INIT CHEMO INFUS 1ST HR W/HL

Reported by 12 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

$200

Average

$5.2k

Median

$443

High

$19.7k

Hospitals reporting this code

#HospitalLocation
1Geisinger Bloomsburg HospitalBloomsburg, PA$718$10.4k$9.2k$12.2k$3.4k
2Geisinger Wyoming ValleyWilkes-Barre, PA$1.5k$19.7k$19.7k$23.2k$3.5k
3Geisinger Lewistown HospitalLewistown, PA$818$16.7k$17.5k$24.4k$4.3k
4Geisinger Jersey Shore HospitalJersey Shore, PA$413$15.1k$13.2k$15.6k$3.0k
5Grossmont Hospital CorporationLa Mesa, CA$1$200$200$2.2k—
6Fairview Health ServicesMinneapolis, MN$226$443$443$999$23
7Fairview Health ServicesEdina, MN$226$443$443$999$23
8Fairview Health ServicesBurnsville, MN$226$443$443$999$23
9HealthEast St John's HospitalMaplewood, MN$226$443$443$999$23
10Fairview Health ServicesPrinceton, MN$226$443$443$999$23
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