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CPT 87636

HC SARSCOV2 & INF A&B AMP PRB

Reported by 60 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

$393

Median

$152

High

$6.9k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$63$150$211$424$114
2Northwest Iowa Hospital CorporationSioux City, IA$45$148$148$280$2
3St Luke's Methodist HospitalCedar Rapids, IA$57$148$148$280$2
4Trinity Medical CenterRock Island, IL$67$150$211$424$113
5Trinity Medical CenterBettendorf, IA$60$150$159$280$28
6Unity HealthcareMuscatine, IA$63$150$210$424$109
7Trinity Regional Medical CenterFort Dodge, IA$79$148$148$280$2
8Meriter Hospital, IncMadison, WI$104$143$143$431—
9Central Iowa Hospital CorporationDes Moines, IA$57$148$148$280$2
10Central Iowa Hospital CorporationDes Moines, IA$45$148$148$285$2
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