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  4. /93897
  5. /Case rate
CPT 93897

EMBOLI DETCJ WO IV MBUBB NJX

Reported by 68 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

$1.8k

Median

$636

High

$19.8k

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.
1Meriter Hospital, IncMadison, WI$363$338$197—$34$945
2Hca Florida Memorial HospitalJACKSONVILLE, FL$15k$15k——$71$15k
3Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$0$0$0—$0$324
4Sanford Fargo Medical CenterFargo, ND$223$221$6—$205$227
5Sanford Medical Center BismarckBismarck, ND$223$221$6—$206$227
6Sanford Bemidji Medical CenterBemidji, MN$228$226$6—$210$232
7Sanford USD Medical CenterSioux Falls, SD$223$221$6—$205$227
8Sanford Aberdeen Medical CenterAberdeen, SD$223$221$6—$205$227
9Sanford Worthington Medical CenterWorthington, MN$228$226$6—$210$232
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$632$632——$187$1.3k
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