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CPT 95990

HC SPIN/BRAIN PUMP REFIL & MAIN

Reported by 313 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

$1.9k

Median

$1.8k

High

$19.7k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$197$333$345$766$24
2Northwest Iowa Hospital CorporationSioux City, IA$294$335$335$885$5
3Medical Ctiy ArgyleArgyle, TX$1.5k$1.7k$1.9k$2.6k$450
4Medical City AllianceSAGINAW, TX$1.5k$2.2k$2.1k$2.6k$479
5St Luke's Methodist HospitalCedar Rapids, IA$172$318$318$826$5
6Trinity Medical CenterRock Island, IL$258$363$374$941$52
7Trinity Medical CenterBettendorf, IA$285$321$341$852$61
8Unity HealthcareMuscatine, IA$286$321$346$997$55
9Trinity Regional Medical CenterFort Dodge, IA$283$317$317$870$5
10Meriter Hospital, IncMadison, WI$80$320$288$343$44
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