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CDM 76100693

HC TX RETINOPATHY W/PHOTOCOAG

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

$2.0k

Average

$6.1k

Median

$7.4k

High

$7.4k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$267$2.2k$2.2k$2.6k$148
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$381$2.1k$2.1k$2.6k$303
3Vanderbilt University Medical CenterNashville, TN$514$3.0k$3.0k$3.2k$633
4Vanderbilt Bedford HospitalShelbyville, TN$381$2.1k$2.0k$2.6k$433
5Baylor Scott & White Medical Center - TempleTemple, TX$25$7.4k$7.4k$7.4k—
6Baylor Scott & White Medical Center - TaylorTaylor, TX$33$7.4k$7.4k$7.4k—
7Baylor Scott & White Medical Center - HillcrestWaco, TX$20$7.4k$7.4k$7.4k—
8Baylor University Medical CenterDallas, TX$309$6.9k$6.9k$7.4k$556
9Baylor Scott & White Medical Center - Round RockRound Rock, TX$35$7.4k$7.4k$7.4k—
10Baylor Scott & White McLane Children's Medical CenterTemple, TX$25$7.4k$7.4k$7.4k—
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