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CDM 48100110

HC PRCRD DRG 0-5YR OR W/ANOMLY

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

$16.6k

Median

$16.1k

High

$26.3k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$251$2.8k$5.1k$4.1k$4.5k
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$251$2.8k$2.9k$4.1k$1.5k
3Vanderbilt University Medical CenterNashville, TN$251$10.8k$10.2k$4.1k$3.8k
4Vanderbilt Bedford HospitalShelbyville, TN$251$2.8k$3.0k$4.1k$1.6k
5Baylor Scott & White Medical Center - TempleTemple, TX$3.3k$14.6k$16.1k$24.7k$5.4k
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$2.7k$12.5k$13.3k$19.8k$2.5k
7Baylor Scott & White Medical Center - TaylorTaylor, TX$4.8k$14.6k$16.1k$24.7k$5.4k
8Baylor Scott & White Medical Center - HillcrestWaco, TX$2.6k$10.5k$12.8k$24.7k$5.4k
9Baylor University Medical CenterDallas, TX$4.7k$19.0k$15.4k$23.4k$5.6k
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$4.4k$19.0k$18.9k$23.4k$1.6k
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