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  5. /Case rate
CPT 00529

PR Anes Clsd Chest Mediastinoscopy & Dx Thoracoscopy Utilizing 1 Lung Vent

Reported by 22 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

$359

Median

$21

High

$7.5k

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.
1Mount Carmel EastColumbus, OH$10.0k$7.5k$3.9k—$632$21.7k
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$21$21——$21$21
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$21$21——$21$21
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$21$21——$21$21
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$21$21——$21$21
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$21$21——$21$21
7IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$21$21——$21$21
8IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$21$21——$21$21
9IHC Health Services Inc., DBA Intermountain Health Layton HospitalLayton, UT$21$21——$21$21
10IHC Health Services, Inc,. DBA Intermountain Health Alta View HospitalSandy, UT$21$21——$21$21
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