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CDM 48100109

HC PRCRD DRG 6YR+ W/O CGEN CAR

Reported by 32 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

$2.9k

Average

$25.5k

Median

$23.0k

High

$46.1k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$214$2.8k$5.1k$4.3k$4.5k
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$214$2.8k$2.9k$4.3k$1.5k
3Vanderbilt University Medical CenterNashville, TN$214$10.8k$10.2k$4.3k$3.8k
4Vanderbilt Bedford HospitalShelbyville, TN$214$2.8k$3.0k$4.3k$1.6k
5Baylor Scott & White Medical Center - TempleTemple, TX$3.0k$26.0k$23.0k$33.3k$8.1k
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$2.5k$27.2k$22.8k$33.3k$8.6k
7Baylor Scott & White Medical Center - TaylorTaylor, TX$3.9k$26.0k$23.0k$33.3k$8.1k
8Baylor Scott & White Medical Center - HillcrestWaco, TX$2.4k$18.6k$19.7k$33.3k$9.5k
9Baylor University Medical CenterDallas, TX$4.6k$20.1k$26.2k$51.7k$15.0k
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$4.3k$22.8k$30.1k$51.7k$13.4k
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