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  5. /Case rate
CPT 69729

IMPL OI IMPLT SK TC ESP>=100

Reported by 367 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

$10.4k

Median

$10.4k

High

$42.7k

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$12.6k$10.8k$4.1k—$3.1k$29.7k
2Northwest Iowa Hospital CorporationSioux City, IA$13.0k$13.0k$188—$11.4k$34.3k
3Medical Ctiy ArgyleArgyle, TX$10.8k$12.2k$9.1k—$948$40.8k
4Medical City AllianceSAGINAW, TX$17.2k$13.1k$7.0k—$2.1k$36.8k
5St Luke's Methodist HospitalCedar Rapids, IA$12.3k$12.3k$179—$11.3k$32.0k
6Trinity Medical CenterRock Island, IL$13.7k$12.0k$5.0k—$3.1k$36.5k
7Trinity Medical CenterBettendorf, IA$12.5k$13.2k$2.4k—$11.1k$33.0k
8Unity HealthcareMuscatine, IA$12.1k$11.1k$4.5k—$3.1k$38.7k
9Trinity Regional Medical CenterFort Dodge, IA$12.3k$12.3k$178—$11.0k$33.8k
10Meriter Hospital, IncMadison, WI$12.4k$9.2k$4.6k—$611$28.4k
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