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  5. /Case rate
CPT 94781

HC CAR SEAT/BED TEST INF-12MO ADDTL 30 MIN

Reported by 69 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

$704

Median

$54

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$42$42——$42$94
2Trinity Medical CenterRock Island, IL$42$42——$42$99
3Unity HealthcareMuscatine, IA$42$42——$42$103
4Meriter Hospital, IncMadison, WI$22$21$1—$7$32
5Hca Florida Gulf Coast HospitalPANAMA CITY, FL$15k$15k——$19$15k
6Hca Florida West HospitalPENSACOLA, FL$15k$15k——$13$15k
7Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$0$0$0—$0$77
8IOM Health System LPFort Wayne, IN$7$7——$7$142
9Dukes Health System LLCPeru, IN$7$7——$7$142
10Warsaw Health System LLCWarsaw, IN$7$7——$7$229
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