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CDM 76100196

HC EXC TUM FACE/SCLP SUBFASC

Reported by 17 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

$2.2k

Average

$2.7k

Median

$2.4k

High

$6.9k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$789$1.6k$2.2k$4.4k$989
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$1.1k$2.5k$2.6k$4.4k$998
3Vanderbilt University Medical CenterNashville, TN$1.5k$1.6k$2.5k$4.4k$1.2k
4Vanderbilt Bedford HospitalShelbyville, TN$1.1k$2.1k$2.5k$4.4k$1.0k
5Baylor Scott & White Medical Center - TempleTemple, TX$42$3.0k$2.4k$3.5k$1.1k
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$63$3.2k$3.2k$3.5k$263
7Baylor Scott & White Medical Center - TaylorTaylor, TX$63$3.0k$2.4k$3.5k$1.1k
8Baylor Scott & White Medical Center - HillcrestWaco, TX$59$3.0k$2.4k$3.5k$1.1k
9Baylor University Medical CenterDallas, TX$713$6.9k$6.9k$7.4k$556
10Baylor Scott & White Medical Center - Round RockRound Rock, TX$59$3.0k$2.4k$3.5k$1.1k
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