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CPT 49594

RPR AA HRN 1ST 3-10 NCR/STRN

Reported by 500 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

$10

Average

$8.6k

Median

$7.2k

High

$56.2k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$4.4k$5.9k$6.7k$13.5k$2.1k
2Northwest Iowa Hospital CorporationSioux City, IA$5.2k$5.9k$5.9k$15.6k$85
3Medical Ctiy ArgyleArgyle, TX$948$10.5k$8.3k$19.1k$5.3k
4Medical City AllianceSAGINAW, TX$1.2k$9.9k$9.0k$19.1k$4.2k
5St Luke's Methodist HospitalCedar Rapids, IA$5.1k$5.6k$5.6k$14.5k$81
6Trinity Medical CenterRock Island, IL$4.5k$6.4k$7.5k$16.6k$2.1k
7Trinity Medical CenterBettendorf, IA$5.0k$5.6k$6.0k$15.0k$1.1k
8University of Iowa Health Care Medical Center DowntownIowa City, IA$4.4k$12.6k$10.8k$14.8k$4.2k
9Unity HealthcareMuscatine, IA$5.0k$5.6k$6.9k$17.5k$2.2k
10Trinity Regional Medical CenterFort Dodge, IA$5.0k$5.6k$5.6k$15.3k$81
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