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  5. /Case rate
CPT 90889

PREPARE REPORT MD/INSUR

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

$2.8k

Median

$345

High

$15k

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.
1Hca Florida Orange Park HospitalMIDDLEBURG, FL$15k$15k——$21$15k
2Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$0$0$0—$0$250
3Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$345$345——$345$345
4St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$303$303——$303$303
5Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$345$345——$345$345
6Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$345$345——$345$345
7Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$345$345——$345$345
8University of Colorado Hospital AuthorityAurora, CO$132$132——$123$1.6k
9Ann & Robert H. Lurie Children's Hospital of ChicagoChicago, IL$8.5k$8.5k——$95$8.5k

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