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  5. /Case rate
CPT 90954

ESRD SERV 4 VSTS P MO 2-11

Reported by 32 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

$1.2k

Median

$967

High

$3.4k

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$3.4k$3.4k——$3.4k$3.4k
2Trinity Medical CenterRock Island, IL$3.4k$3.4k——$3.4k$3.4k
3Unity HealthcareMuscatine, IA$3.4k$3.4k——$3.4k$3.4k
4Meriter Hospital, IncMadison, WI$2.8k$2.7k$164—$821$4.0k
5Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$0$0$0—$0$3.6k
6Sanford Fargo Medical CenterFargo, ND$965$958$25—$890$1.7k
7Sanford Medical Center BismarckBismarck, ND$971$963$26—$896$991
8Sanford Bemidji Medical CenterBemidji, MN$968$960$26—$893$1.8k
9Sanford USD Medical CenterSioux Falls, SD$965$957$26—$890$1.7k
10Sanford Aberdeen Medical CenterAberdeen, SD$965$957$26—$890$984
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