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CDM 45000103

HC CL TREATMENT SHOULDER DISCI W/MAN/W/O

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

$1.2k

Average

$1.7k

Median

$1.2k

High

$6.9k

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$85$1.2k$1.2k$1.3k—
2Baylor Scott & White Medical Center - TaylorTaylor, TX$91$1.2k$1.2k$1.3k—
3Baylor Scott & White Medical Center - HillcrestWaco, TX$85$1.2k$1.2k$1.2k—
4Baylor University Medical CenterDallas, TX$545$6.9k$6.9k$7.4k$556
5Baylor Scott & White Medical Center - Round RockRound Rock, TX$85$1.2k$1.2k$1.5k—
6Baylor Scott & White McLane Children's Medical CenterTemple, TX$85$1.2k$1.2k$1.2k—
7Baylor Scott & White Medical Center - LakewayLakeway, TX$85$1.2k$1.2k$1.5k—
8Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX$85$1.2k$1.2k$1.3k—
9Baylor Scott & White Medical Center - College StationCollege Station, TX$91$1.2k$1.2k$1.3k—
10Baylor Scott & White Medical Center - PflugervillePflugerville, TX$85$1.2k$1.2k$1.5k—
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