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CPT 97002

HC PT RE-EVALUATION

Reported by 6 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

$72

Average

$193

Median

$213

High

$312

Hospitals reporting this code

#HospitalLocation
1Catholic Health Initiatives ColoradoFrisco, CO$59$107$225$630$196
2Commonspirit Kansas, Inc.Ulysses, KS$35$72$72$104—
3Catholic Health Initiatives ColoradoPueblo, CO$72$275$274$600$155
4Catholic Health Initiatives ColoradoDurango, CO$58$182$202$473$119
5Commonspirit Kansas, Inc.Garden City, KS$68$72$72$106—
6Catholic Health Initiatives ColoradoCanon City, CO$29$263$312$600$218

Look up this code directly

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