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CDM 36000180

HC ILIOTIBAL BAND REPAIR/RECONSTRUCTION W MESH/GRAFT (EG: HERNIATION)

Reported by 27 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

$1.1k

Average

$2.6k

Median

$2.4k

High

$4.5k

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$235$1.7k$3.0k$8.9k$2.8k
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$339$414$2.3k$8.9k$2.4k
3Baylor Scott & White Medical Center - TaylorTaylor, TX$339$1.7k$3.0k$7.9k$2.8k
4Baylor Scott & White Medical Center - HillcrestWaco, TX$235$1.0k$2.4k$7.4k$2.7k
5Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$235$1.3k$2.4k$8.3k$2.7k
6Baylor Scott & White Medical Center - Round RockRound Rock, TX$235$1.7k$3.0k$8.9k$2.8k
7Baylor Scott & White McLane Children's Medical CenterTemple, TX$235$1.7k$3.0k$7.4k$2.8k
8Baylor Scott & White Medical Center - Lake PointeRowlett, TX$235$1.2k$2.3k$8.3k$2.8k
9Baylor Scott & White Medical Center - PlanoPlano, TX$235$1.3k$2.4k$8.3k$2.7k
10Baylor Scott & White Medical Center - GrapevineGrapevine, TX$236$1.3k$2.4k$8.3k$2.7k
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