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  5. /Case rate
CPT 99058

OFFICE EMERGENCY CARE

Reported by 17 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

$18.6k

Median

$19.8k

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.
1Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$0$0$0—$0$144
2Aurora Medical Center SummitSummit, WI$19.0k$19.8k$2.8k—$1.0k$25.7k
3Aurora St Lukes Medical Center of Aurora Health Care Metro IncMilwaukee, WI$19.0k$19.8k$2.8k—$1.0k$25.7k
4Aurora Medical Center GraftonGrafton, WI$19.0k$19.8k$2.8k—$1.0k$25.7k
5Aurora BayCare Medical CenterGreen Bay, WI$19.0k$19.8k$2.8k—$1.0k$25.7k
6Aurora West Allis Medical CenterWest Allis, WI$19.0k$19.8k$2.8k—$1.0k$25.7k
7Aurora Medical Center KenoshaKenosha, WI$19k$19.6k$2.8k—$1.0k$25.7k
8Aurora Medical Center OshkoshOshkosh, WI$19.0k$19.8k$2.8k—$1.0k$25.7k
9Aurora Sinai Medical Center of Aurora Health Care Metro IncMilwaukee, WI$19.0k$19.8k$2.8k—$1.0k$25.7k
10Aurora Medical Center Sheboygan CountySheboygan, WI$19.0k$19.8k$2.8k—$1.0k$25.7k
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