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CDM 36100724

HC IR PRQ AV FSTL CRTJ UXTR 1 ACS

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

$14.1k

Average

$25.2k

Median

$24.6k

High

$36.8k

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$1.9k$22.3k$20.5k$43.4k$10.1k
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$2.1k$27.0k$21.1k$43.4k$10.7k
3Baylor Scott & White Medical Center - TaylorTaylor, TX$2.1k$22.3k$20.5k$43.4k$10.1k
4Baylor Scott & White Medical Center - HillcrestWaco, TX$1.9k$13.4k$17.7k$43.4k$10.2k
5Baylor University Medical CenterDallas, TX$1.9k$17.0k$27.0k$61.3k$20.5k
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$1.9k$23.4k$31.0k$61.3k$20.1k
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$1.9k$22.3k$20.5k$43.4k$10.1k
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$1.9k$22.3k$20.5k$43.4k$10.1k
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$1.9k$19.6k$24.6k$45.2k$13.5k
10Baylor Scott & White Medical Center - PlanoPlano, TX$1.9k$23.4k$31.0k$61.3k$20.1k
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