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  5. /Case rate
CPT 0924T

RPOS PRV CCM-D TRNSVNS ELTRD

Reported by 246 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

$3.1k

Median

$2.6k

High

$12.2k

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$621$623$27—$604$1.4k
2Northwest Iowa Hospital CorporationSioux City, IA$624$624$9—$615$1.7k
3Medical Ctiy ArgyleArgyle, TX$1.6k$1.8k$339—$1.4k$2.3k
4Medical City AllianceSAGINAW, TX$2.3k$2.1k$354—$1.4k$2.5k
5St Luke's Methodist HospitalCedar Rapids, IA$593$593$9—$585$1.5k
6Trinity Medical CenterRock Island, IL$657$693$109—$606$1.8k
7Trinity Medical CenterBettendorf, IA$599$636$113—$581$1.6k
8Unity HealthcareMuscatine, IA$590$628$108—$570$1.9k
9Trinity Regional Medical CenterFort Dodge, IA$590$590$9—$581$1.6k
10Meriter Hospital, IncMadison, WI$597$938$902—$597$3.3k
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