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  5. /Case rate
CPT C8913

Mra w/o cont- lwr ext

Reported by 34 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

$171

Average

$458

Median

$250

High

$1.4k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$184$271$471$892$275
2Mercy Medical Center - DubuqueDubuque, IA$232$1.4k$1.4k$2.5k—
3Plymouth Medical CenterPlymouth, IN$131$1.1k$1.1k$5.4k—
4Mishawaka Medical CenterMishawaka, IN$131$1.1k$1.1k$5.4k—
5Mount Carmel New Albany Surgical HospitalNew Albany, OH$202$632$632$3.3k—
6Mount Carmel Grove CityGrove City, OH$198$632$632$3.3k—
7Diley Ridge Medical CenterCanal Winchester, OH$202$632$632$3.3k—
8Mount Carmel St Ann'sWesterville, OH$202$632$632$3.3k—
9Mount Carmel EastColumbus, OH$198$632$632$3.3k—
10IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$232$242$241$269$9
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