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ExamplesConnectHospitalsCodesRequest dataGet access
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  5. /Case rate
CPT 97762

HC OT CHECKOUT ORT/PROS EA 15MIN

Reported by 14 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

$477

Median

$145

High

$4.5k

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.
1Catholic Health Initiatives ColoradoColorado Springs, CO$137$145$43—$37$350
2Catholic Health Initiatives ColoradoColorado Springs, CO$146$150$43—$72$350
3St Francis HospitalColorado Springs, CO$137$145$43—$37$232
4Longmont United HospitalLongmont, CO$155$143$54—$37$358
5Catholic Health Initiatives ColoradoFrisco, CO$107$225$196—$36$630
6Commonspirit Kansas, Inc.Ulysses, KS$72$72——$24$72
7Catholic Health Initiatives ColoradoPueblo, CO$275$280$167—$72$686
8Catholic Health Initiatives ColoradoDurango, CO$182$202$119—$39$473
9Commonspirit Kansas, Inc.Garden City, KS$72$72——$47$73
10Orthocolorado, LlcLakewood, CO$145$144$48—$37$232
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