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CPT C9796

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Reported by 26 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

$2.0k

Average

$3.8k

Median

$2.9k

High

$7.3k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$2.1k$3.1k$5.6k$10.1k$3.1k
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$2.6k$2.8k$2.8k$3.1k$110
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$2.3k$2.8k$2.8k$3.3k$285
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$2.2k$2.8k$2.9k$3.2k$209
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$2.6k$2.8k$2.9k$3.1k$139
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$2.6k$2.8k$2.9k$3.3k$166
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$2.7k$5.2k$4.9k$7.5k$1.7k
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$2.7k$7.5k$7.2k$10.3k$2.1k
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$2.2k$2.8k$2.8k$3.1k$248
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$2.8k$9.7k$7.3k$11.3k$4.1k
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