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CPT G0257

HC Hemodialysis Unscheduled/Emergency Esrd Hospital Outpatient Department

Reported by 12 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

$320

Average

$1.4k

Median

$581

High

$6.9k

Hospitals reporting this code

#HospitalLocation
1The Mercy Hospital IncSpringfield, MA$119$392$392$2.2k—
2Mercy Medical Center - DubuqueDubuque, IA$339$423$423$1.4k—
3Catholic Health Initiatives-Iowa CorpDes Moines, IA$320$320$331$2.7k$15
4Covenant Medical Center IncWaterloo, IA$569$924$924$2.4k—
5Catholic Health Initiatives-Iowa CorpWest Des Moines, IA$320$320$320$2.7k—
6Plymouth Medical CenterPlymouth, IN$376$530$530$2.6k—
7Mishawaka Medical CenterMishawaka, IN$376$530$530$2.6k—
8Mount Carmel New Albany Surgical HospitalNew Albany, OH$582$632$632$2.8k—
9Mount Carmel Grove CityGrove City, OH$571$632$632$2.8k—
10Mount Carmel St Ann'sWesterville, OH$582$5.9k$4.0k$20.0k$2.5k
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