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CDM 36100285

HC BX BREAST PLC DVC 1ST LESION W STERO GUID

Reported by 29 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

$1.7k

Average

$3.2k

Median

$2.0k

High

$5.2k

Hospitals reporting this code

#HospitalLocation
1Memorial Hospital of Laramie CountyCheyenne, WY$1.7k$1.7k$1.7k$5.8k$25
2Baylor Scott & White Medical Center - TempleTemple, TX$206$5.2k$5.2k$7.4k$2.2k
3Baylor Scott & White Medical Center - BrenhamBrenham, TX$170$3.0k$3.0k$3.0k—
4Baylor Scott & White Medical Center - TaylorTaylor, TX$607$5.2k$5.2k$7.4k$2.2k
5Baylor Scott & White Medical Center - HillcrestWaco, TX$165$1.1k$2.7k$7.4k$2.8k
6Baylor University Medical CenterDallas, TX$548$2.1k$3.9k$7.4k$2.4k
7Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$516$1.9k$2.0k$2.7k$99
8Baylor Scott & White Medical Center - Round RockRound Rock, TX$639$5.2k$5.2k$7.4k$2.2k
9Baylor Scott & White McLane Children's Medical CenterTemple, TX$206$5.2k$5.2k$7.4k$2.2k
10Baylor Scott & White Medical Center - Lake PointeRowlett, TX$355$1.9k$2.0k$2.7k$99
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