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  5. /Case rate
CPT 0915T

INSJ PERM CCM-D SYS PG&ELTRD

Reported by 292 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

$30.9k

Median

$30.6k

High

$94.6k

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$32.2k$32.3k$1.4k—$31.3k$74.1k
2Northwest Iowa Hospital CorporationSioux City, IA$32.3k$32.3k$469—$31.9k$85.6k
3Medical Ctiy ArgyleArgyle, TX$26.8k$30.1k$5.1k—$26.2k$100.4k
4Medical City AllianceSAGINAW, TX$26.8k$30.0k$5.1k—$26.0k$90.4k
5St Luke's Methodist HospitalCedar Rapids, IA$30.8k$30.8k$446—$30.3k$79.8k
6Trinity Medical CenterRock Island, IL$34.1k$35.9k$5.6k—$31.4k$91.0k
7Trinity Medical CenterBettendorf, IA$31.0k$33.0k$5.9k—$30.2k$82.3k
8Unity HealthcareMuscatine, IA$30.6k$32.6k$5.6k—$29.6k$96.4k
9Trinity Regional Medical CenterFort Dodge, IA$30.6k$30.6k$443—$30.2k$84.1k
10Meriter Hospital, IncMadison, WI$31.0k$28.4k$6.8k—$10.4k$31.0k
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