CDM PX-51000748

HC OP Est Patient Level 4 W Proc|SIGNIFICANT SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY OF THE PROCEDURE OR OTHER SERVICE|POLICY CRITERIA APPLIED

Reported by 9 hospitals in the network under the case rate methodology.

Filter by billing methodology

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Based on 2,823–3,084 billing samples across every hospital reporting.

Low

$66

Average

$149

Median

$70

High

$280

#	Hospital	Location
1	Saint Luke’s Hospital of Chillicothe	Chillicothe, MO	$287	$280	$13	1,264–1,273	$29	$287
2	Saint Luke’s Hospital of Trenton	Trenton, MO	$220	$236	$54	1,238–1,247	$32	$365
3	St. Lukes Hospital of Kansas City	City, KS	$70	$70	$22	179–215	$0	$308
4	Saint Luke’s of Garnett	Garnett, KS	$284	$257	$83	114–168	$32	$364
5	Saint Luke’s East Hospital	Summit, MO	$66	$66	$20	14–41	$0	$283
6	Saint Luke’s North Hospital	Smithville, MO	$66	$66	$20	5–50	$0	$283
7	Saint Luke’s North Hospital	City, KS	$66	$66	$20	5–50	$0	$283
8	Saint Luke’s South Hospital, Inc	Overland Park, KS	$66	$66	$20	3–30	$0	$283
9	Saint Luke’s of Allen County	Iola, KS	$241	$238	$18	1–10	$32	$241

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