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  5. /Case rate
CPT 96932

RCM IMG ACQUISJ ONLY 1ST LES

Reported by 31 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

$149

Median

$122

High

$422

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$422$422——$422$422
2Trinity Medical CenterRock Island, IL$422$422——$422$422
3Unity HealthcareMuscatine, IA$422$422——$422$422
4Meriter Hospital, IncMadison, WI$342$330$20—$115$492
5Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$0$0$0—$0$451
6Sanford Fargo Medical CenterFargo, ND$123$122$3—$1$127
7Sanford Medical Center BismarckBismarck, ND$123$122$3—$114$127
8Sanford Bemidji Medical CenterBemidji, MN$126$125$3—$1$129
9Sanford USD Medical CenterSioux Falls, SD$123$122$3—$1$127
10Sanford Aberdeen Medical CenterAberdeen, SD$123$122$3—$114$126
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