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  5. /Case rate
CPT 69728

RMV NTR OI IMP SK TC>=100

Reported by 365 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

$6.0k

Median

$5.1k

High

$21.8k

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$3.2k$3.2k$248—$2.8k$7.5k
2Northwest Iowa Hospital CorporationSioux City, IA$3.3k$3.3k$47—$2.9k$8.7k
3Medical Ctiy ArgyleArgyle, TX$6.6k$10.9k$9.2k—$948$28.3k
4Medical City AllianceSAGINAW, TX$10.9k$11.7k$7.2k—$1.1k$24.3k
5St Luke's Methodist HospitalCedar Rapids, IA$3.1k$3.1k$45—$2.9k$8.1k
6Trinity Medical CenterRock Island, IL$3.4k$3.4k$621—$2.5k$9.2k
7Trinity Medical CenterBettendorf, IA$3.1k$3.3k$593—$2.8k$8.3k
8Unity HealthcareMuscatine, IA$3.1k$3.2k$550—$2.8k$9.8k
9Trinity Regional Medical CenterFort Dodge, IA$3.1k$3.1k$45—$2.8k$8.5k
10Meriter Hospital, IncMadison, WI$3.1k$3.1k$1.4k—$540$10.9k
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