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  5. /Case rate
CPT 66991

XCAPSL CTRC RMVL INSJ 1+

Reported by 394 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

Based on 85–130 billing samples across every hospital reporting.

Low

$10

Average

$7.5k

Median

$6.4k

High

$28.9k

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.
1Northwestern Memorial HospitalChicago, IL$7.3k$7.3k$38550$6.9k$7.7k
2Northwestern Lake Forest HospitalLake Forest, IL$6.5k$6.5k$34230$6.2k$6.8k
3Northwestern Medicine Delnor HospitalGeneva, IL$2.8k$4.2k$1.9k5–50$2.5k$6.8k
4The Finley HospitalDubuque, IA$5.0k$4.7k$823—$3.2k$11.9k
5Northwest Iowa Hospital CorporationSioux City, IA$5.2k$5.2k$75—$4.6k$13.8k
6Medical Ctiy ArgyleArgyle, TX$6.6k$6.0k$3.7k—$948$15.4k
7Medical City AllianceSAGINAW, TX$6.8k$7.0k$3.0k—$2.1k$14.4k
8St Luke's Methodist HospitalCedar Rapids, IA$5.0k$5.0k$72—$4.5k$12.8k
9Trinity Medical CenterRock Island, IL$5.5k$5.2k$1.3k—$3.2k$14.6k
10Trinity Medical CenterBettendorf, IA$5.0k$5.3k$943—$4.4k$13.3k
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