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CPT 0578T

REM INTERROG DEV ICDS PHYS

Reported by 6 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

$39

Average

$1.1k

Median

$43

High

$6.4k

Hospitals reporting this code

#HospitalLocation
1MaineHealthPortland, ME$40$41$43$114$3
2MaineHealthBiddeford, ME$40$41$43$114$3
3MaineHealthBrunswick, ME$40$41$43$82$3
4MaineHealthRockport, ME$41$41$43$82$3
5University of Colorado Hospital AuthorityAurora, CO$87$6.4k$6.4k$6.9k$383
6Fairview Health ServicesBurnsville, MN$37$39$39$109—

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