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  5. /Case rate
CPT 0921T

RMVL PERM CCM-D SYS 1 DFB LD

Reported by 290 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

$7.1k

Median

$7.0k

High

$33.2k

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$3.7k$3.7k$160—$3.6k$8.4k
2Northwest Iowa Hospital CorporationSioux City, IA$3.7k$3.7k$53—$3.6k$9.7k
3Medical Ctiy ArgyleArgyle, TX$7.6k$8.2k$2.0k—$6.2k$11.4k
4Medical City AllianceSAGINAW, TX$7.3k$8.5k$1.7k—$7.2k$10.9k
5St Luke's Methodist HospitalCedar Rapids, IA$3.5k$3.5k$51—$3.4k$9.1k
6Trinity Medical CenterRock Island, IL$3.9k$4.1k$641—$3.6k$10.3k
7Trinity Medical CenterBettendorf, IA$3.5k$3.7k$665—$3.4k$9.3k
8Unity HealthcareMuscatine, IA$3.5k$3.7k$635—$3.4k$10.9k
9Trinity Regional Medical CenterFort Dodge, IA$3.5k$3.5k$50—$3.4k$9.6k
10Meriter Hospital, IncMadison, WI$3.5k$3.9k$1.1k—$3.5k$7.0k
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