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  5. /Case rate
CPT 92531

SPONTANEOUS NYSTAGMUS STUDY

Reported by 7 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

$2.2k

Median

$47

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.
1The Finley HospitalDubuque, IA$47$47——$47$47
2Trinity Medical CenterRock Island, IL$47$47——$47$47
3Unity HealthcareMuscatine, IA$47$47——$47$47
4Hca Florida West HospitalPENSACOLA, FL$15k$15k——$11$15k
5Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$0$0$0—$0$56
6St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$96$96$3—$69$102
7The University of Texas Southwestern Medical Center at DallasDallas, TX$425$425$22—$25$447

Look up this code directly

Ask Claude or any MCP client for CPT 92531 pricing at a specific hospital — see how to connect.

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