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  5. /Case rate
CPT 59856

INDUCED AB 1+VAG SUPP D&C

Reported by 382 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

$6.1k

Median

$4.6k

High

$26.1k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$1.3k$2.6k$2.6k$2.6k—
2Medical Ctiy ArgyleArgyle, TX$661$3.7k$10.6k$28.3k$9.7k
3Medical City AllianceSAGINAW, TX$732$16.1k$11.2k$24.3k$8.0k
4Trinity Medical CenterRock Island, IL$1.3k$2.6k$2.6k$2.6k—
5Unity HealthcareMuscatine, IA$1.3k$2.6k$2.6k$2.6k—
6Meriter Hospital, IncMadison, WI$430$1.4k$2.4k$5.2k$1.6k
7Medical City MckinneyMcKinney, TX$676$4.1k$10.6k$28.3k$9.6k
8Medical City Las ColinasIrving, TX$630$6.6k$9.6k$24.3k$8.4k
9Med City Heart HospitalDallas, TX$661$5.0k$10.1k$25.7k$8.8k
10Medical City DentonArgyle, TX$661$3.7k$10.6k$28.3k$9.7k
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