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CPT A0433

Als 2

Reported by 29 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

$275

Average

$343

Median

$289

High

$752

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$195$279$635$3.2k$935
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$279$285$287$324$11
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$235$285$283$330$28
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$237$285$289$325$21
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$272$285$292$313$12
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$272$285$294$331$15
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$279$530$500$767$175
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$276$278$445$725$217
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$237$285$286$313$21
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$279$279$281$287$3
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