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  5. /Case rate
CPT 34705

EVAC RPR A-BIILIAC NDGFT

Reported by 398 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

$7.7k

Median

$6.4k

High

$26.5k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$6.6k$6.6k$6.6k$6.6k—
2Medical Ctiy ArgyleArgyle, TX$948$9.4k$11.5k$54.3k$9.0k
3Medical City AllianceSAGINAW, TX$2.1k$12.0k$12.4k$28.6k$6.9k
4Trinity Medical CenterRock Island, IL$3.2k$8.8k$8.4k$8.8k$517
5Unity HealthcareMuscatine, IA$4.1k$8.2k$8.2k$8.8k$549
6Meriter Hospital, IncMadison, WI$950$4.3k$4.3k$28.4k$287
7University of Iowa Health Care Medical CenterIowa City, IA$1.3k$7.1k$6.8k$7.7k$723
8Medical City MckinneyMcKinney, TX$948$9.4k$11.5k$38.6k$9.0k
9Medical City Las ColinasIrving, TX$948$9.4k$10.6k$28.6k$7.6k
10Med City Heart HospitalDallas, TX$948$12.1k$12.4k$32.8k$7.8k
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