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  5. /Case rate
CPT 93620

COMP EP EVL R AT VEN PAC&REC

Reported by 479 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

$14.4k

Median

$13.5k

High

$51.9k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$1.2k$7.4k$6.2k$17.5k$2.7k
2Northwest Iowa Hospital CorporationSioux City, IA$2.6k$7.7k$7.7k$20.3k$111
3Medical Ctiy ArgyleArgyle, TX$5.6k$26.8k$26.4k$43.9k$10.9k
4Medical City AllianceSAGINAW, TX$5.6k$26.8k$26.5k$43.9k$10.8k
5St Luke's Methodist HospitalCedar Rapids, IA$3.8k$7.3k$7.3k$18.9k$106
6Trinity Medical CenterRock Island, IL$4.7k$8.3k$11.2k$21.9k$5.4k
7Trinity Medical CenterBettendorf, IA$4.2k$7.3k$7.8k$19.5k$1.4k
8Unity HealthcareMuscatine, IA$4.2k$7.3k$10.3k$22.8k$5.4k
9Trinity Regional Medical CenterFort Dodge, IA$6.5k$7.2k$7.2k$19.9k$105
10Meriter Hospital, IncMadison, WI$344$5.0k$8.7k$39.3k$11.3k
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