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CDM 36100705

HC REVASC LITHOTRIP TIBI/PERONE

Reported by 28 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

$12.8k

Average

$17.5k

Median

$17.1k

High

$24.1k

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$4.8k$15.9k$14.3k$27.3k$5.0k
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$3.0k$16.0k$14.1k$27.3k$5.3k
3Baylor Scott & White Medical Center - TaylorTaylor, TX$4.2k$15.9k$14.3k$27.3k$5.0k
4Baylor Scott & White Medical Center - HillcrestWaco, TX$4.8k$13.4k$12.8k$27.3k$4.7k
5Baylor University Medical CenterDallas, TX$4.8k$16.5k$18.5k$35.9k$10.3k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$4.8k$17.4k$20.8k$35.9k$9.8k
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$4.8k$15.9k$14.3k$27.3k$5.0k
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$4.8k$15.9k$14.3k$27.3k$5.0k
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$4.8k$16.9k$17.1k$27.3k$6.3k
10Baylor Scott & White Medical Center - PlanoPlano, TX$4.8k$17.4k$20.8k$35.9k$9.8k
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