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CDM 76100631

HC ANLYS PUMP PAIN W/O REPROGRAM

Reported by 31 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

$2.6k

Median

$2.9k

High

$5.2k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$146$3.0k$3.1k$1.3k$907
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$208$3.0k$3.0k$1.3k$1.2k
3Vanderbilt University Medical CenterNashville, TN$279$4.3k$4.3k$1.3k$186
4Vanderbilt Bedford HospitalShelbyville, TN$208$3.0k$2.9k$1.3k$1.3k
5Baylor Scott & White Medical Center - TempleTemple, TX$71$3.2k$3.1k$3.9k$797
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$71$3.0k$2.8k$3.8k$709
7Baylor Scott & White Medical Center - TaylorTaylor, TX$71$3.2k$3.1k$3.9k$797
8Baylor Scott & White Medical Center - HillcrestWaco, TX$71$3.2k$3.1k$3.9k$797
9Baylor University Medical CenterDallas, TX$421$6.3k$5.2k$7.4k$2.4k
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$421$1.8k$1.8k$3.8k—
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