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  4. /97546
  5. /Case rate
CPT 97546

WORK HARDENING ADD-ON

Reported by 82 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

$1.2k

Median

$155

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.
1The Finley HospitalDubuque, IA$147$147——$147$147
2St Luke's Methodist HospitalCedar Rapids, IA$125$125——$47$125
3Trinity Medical CenterRock Island, IL$147$147——$147$147
4Unity HealthcareMuscatine, IA$147$147——$147$147
5Trinity Regional Medical CenterFort Dodge, IA$125$125——$60$125
6Meriter Hospital, IncMadison, WI$255$299$67—$72$381
7Central Iowa Hospital CorporationDes Moines, IA$125$125——$118$174
8Central Iowa Hospital CorporationDes Moines, IA$125$125——$93$174
9Allen Memorial Hospital CorporationWaterloo, IA$125$125——$58$125
10UnityPoint Health MarshalltownMarshalltown, IA$125$125——$53$125
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