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CDM 76100493

HC ENDO SMALL INTEST/ILIUM W/BX

Reported by 29 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

$1.8k

Average

$2.0k

Median

$1.8k

High

$5.2k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$923$2.1k$2.5k$3.4k$864
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$689$3.0k$2.9k$3.4k$978
3Vanderbilt University Medical CenterNashville, TN$999$1.8k$2.7k$3.4k$1.1k
4Vanderbilt Bedford HospitalShelbyville, TN$689$2.4k$2.8k$3.4k$951
5Baylor Scott & White Medical Center - TempleTemple, TX$71$1.8k$1.8k$3.1k—
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$71$1.8k$1.8k$3.1k—
7Baylor Scott & White Medical Center - TaylorTaylor, TX$71$1.8k$1.8k$2.2k—
8Baylor Scott & White Medical Center - HillcrestWaco, TX$71$1.8k$1.8k$3.0k—
9Baylor University Medical CenterDallas, TX$502$6.3k$5.2k$7.4k$2.4k
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$472$1.8k$1.8k$2.5k—
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