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  5. /Case rate
CPT 90385

RH IG MINIDOSE IM

Reported by 9 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

$110

Median

$95

High

$332

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$108$108——$30$108
2Trinity Medical CenterRock Island, IL$108$108——$30$108
3Unity HealthcareMuscatine, IA$108$108——$30$108
4Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$0$0$0—$0$94
5St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$332$332$11—$236$353
6Memorial Hospital of Laramie CountyCheyenne, WY$84$84——$84$84
7Mary Hitchcock Memorial HospitalLebanon, NH$64$67$4—$64$74
8The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of PennsylvaniaPhiladelphia, PA$90$90——$15$90
9Pennsylvania Hospital of the University of Pennsylvania Health SystemPhiladelphia, PA$95$95——$16$95

Look up this code directly

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