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  4. /99192
  5. /Case rate
CPT 99192

SPECIAL PUMP SERVICES

Reported by 67 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

$11.4k

Median

$13.4k

High

$25.1k

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$699$699——$699$699
2Trinity Medical CenterRock Island, IL$699$699——$699$699
3Unity HealthcareMuscatine, IA$699$699——$699$699
4Vhs Of Arrowhead, IncPhoenix, AZ$0$0——$0$728
5Vhs Of Phoenix IncPhoenix, AZ$0$0——$0$728
6VHS Acquisition Subsidiary Number 1 IncCave Creek, AZ$0$0——$0$728
7Vhs Of Arrowhead, IncGlendale, AZ$0$0——$0$728
8Vhs Of Arrowhead, IncSurprise, AZ$0$0——$0$728
9Florida Coast Medical and Surgical Center, Inc.Port St. Lucie, FL$0$0$0—$0$787
10Virginia Mason Medical CenterSeattle, WA$14.7k$18.2k$10.2k—$8.0k$49.8k
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Look up this code directly

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