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  5. /Case rate
CPT 00215

Anes icr px crnop/elvtn fx

Reported by 52 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

$21

Average

$10.6k

Median

$10.9k

High

$24.2k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$6.5k$6.9k$6.9k—$21$15.0k
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$3.9k$6.9k$7.0k—$21$16.4k
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$3.4k$6.9k$7.1k—$21$16.1k
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$3.9k$7.1k$7.2k—$21$15.5k
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$14.1k$8.0k$7.2k—$21$16.4k
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$25.7k$24.2k$8.5k—$13.5k$37.2k
7IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$3.9k$6.9k$7.0k—$21$15.5k
8St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$13.6k$13.7k$163—$13.6k$14.0k
9IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$5.5k$7.0k$7.1k—$21$15.5k
10IHC Health Services Inc., DBA Intermountain Health Layton HospitalLayton, UT$7.1k$7.4k$7.4k—$21$16.1k
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