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  5. /Case rate
CPT 0154U

ONC URTHL CA RNA FGFR3 GENE

Reported by 42 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

Average

$567

Median

$499

High

$762

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.
1The Finley HospitalDubuque, IA$506$508$22—$61$651
2Northwest Iowa Hospital CorporationSioux City, IA$499$499$7—$61$723
3St Luke's Methodist HospitalCedar Rapids, IA$499$499$7—$61$892
4Trinity Medical CenterRock Island, IL$492$518$81—$61$1.0k
5Trinity Medical CenterBettendorf, IA$506$538$96—$61$805
6Unity HealthcareMuscatine, IA$499$531$91—$61$926
7Trinity Regional Medical CenterFort Dodge, IA$499$499$7—$61$926
8Meriter Hospital, IncMadison, WI$482$482——$482$482
9Central Iowa Hospital CorporationDes Moines, IA$499$499$7—$61$820
10Central Iowa Hospital CorporationDes Moines, IA$499$499$7—$61$964
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