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CPT 0690T

QUAN US TIS CHARAC W/DX US

Reported by 21 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

$130

Average

$3.1k

Median

$448

High

$19.8k

Hospitals reporting this code

#HospitalLocation
1Meriter Hospital, IncMadison, WI$27$149$130$204$60
2Geisinger Community Medical CenterScranton, PA$146$20.1k$19.8k$23.0k$2.9k
3Geisinger Wyoming ValleyWilkes-Barre, PA$146$19.7k$19.7k$23.2k$3.5k
4Geisinger Lewistown HospitalLewistown, PA$102$16.7k$17.5k$24.4k$4.3k
5Aurora Medical Center SummitSummit, WI$228$406$448$700$111
6Aurora St Lukes Medical Center of Aurora Health Care Metro IncMilwaukee, WI$228$406$448$700$111
7Aurora Medical Center GraftonGrafton, WI$228$406$448$700$111
8Aurora BayCare Medical CenterGreen Bay, WI$228$406$448$700$111
9Aurora West Allis Medical CenterWest Allis, WI$228$406$448$700$111
10Aurora Medical Center KenoshaKenosha, WI$228$406$448$700$111
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