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  5. /Case rate
CPT 92941

HC PRQ CARD REVASC MI 1 VSL

Reported by 499 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

$1

Average

$16.2k

Median

$14.5k

High

$80.1k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$4.0k$4.0k$4.0k$12.8k—
2Medical Ctiy ArgyleArgyle, TX$1.9k$29.6k$29.4k$46.3k$12.1k
3Medical City AllianceSAGINAW, TX$2.1k$29.6k$29.4k$46.3k$12.1k
4Trinity Medical CenterRock Island, IL$4.0k$4.0k$4.0k$9.8k—
5Unity HealthcareMuscatine, IA$4.0k$4.0k$4.0k$10.2k—
6Meriter Hospital, IncMadison, WI$560$8.0k$15.1k$37.2k$14.5k
7Medical City MckinneyMcKinney, TX$1.9k$29.6k$29.7k$46.3k$12.1k
8Medical City Las ColinasIrving, TX$2.1k$29.6k$29.4k$46.3k$12.1k
9Med City Heart HospitalDallas, TX$2.1k$25.9k$28.9k$46.3k$13.1k
10Medical City DentonArgyle, TX$1.9k$29.6k$29.4k$46.3k$12.1k
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