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CPT 81436

Non-Surgical Cases

Reported by 17 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

$0

Average

$937

Median

$716

High

$4.0k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$790$1.3k$1.3k$1.3k—
2Trinity Medical CenterRock Island, IL$1.2k$1.3k$1.3k$1.3k—
3Unity HealthcareMuscatine, IA$1.2k$1.3k$1.3k$1.3k—
4Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$0$0$0$2.1k$0
5Sanford Fargo Medical CenterFargo, ND$556$602$598$1.6k$16
6Sanford Medical Center BismarckBismarck, ND$556$602$597$1.6k$16
7Sanford Bemidji Medical CenterBemidji, MN$556$602$597$614$16
8Sanford USD Medical CenterSioux Falls, SD$556$602$597$1.6k$16
9Sanford Aberdeen Medical CenterAberdeen, SD$556$602$597$614$16
10Sanford Worthington Medical CenterWorthington, MN$556$602$597$614$16
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