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CDM 76100153

HC DEST LESN BGN/PREMALIG 2-14

Reported by 16 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

$0

Average

$2.5k

Median

$2.7k

High

$6.9k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$79$0$0$218—
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$55$158$158$218—
3Vanderbilt Bedford HospitalShelbyville, TN$55$158$158$218—
4Baylor Scott & White Medical Center - TempleTemple, TX$71$3.0k$2.7k$4.5k$845
5Baylor Scott & White Medical Center - BrenhamBrenham, TX$71$3.2k$3.2k$4.5k$263
6Baylor Scott & White Medical Center - TaylorTaylor, TX$71$3.0k$2.7k$4.5k$845
7Baylor Scott & White Medical Center - HillcrestWaco, TX$71$3.0k$2.7k$4.5k$845
8Baylor University Medical CenterDallas, TX$1.8k$6.9k$6.9k$7.4k$556
9Baylor Scott & White Medical Center - Round RockRound Rock, TX$71$3.0k$2.7k$4.5k$845
10Baylor Scott & White McLane Children's Medical CenterTemple, TX$71$3.0k$2.7k$4.5k$845
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