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CPT G0380

Lev 1 hosp type b ed visit

Reported by 27 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

$56

Average

$319

Median

$127

High

$2.7k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$64$94$158$310$90
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$75$81$127$309$77
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$62$79$124$309$79
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$60$79$120$309$75
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$68$77$84$201$29
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$68$80$124$309$76
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$84$160$151$231$53
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$84$650$878$3.5k$1.0k
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$68$78$90$201$38
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$84$4.2k$2.7k$5.1k$2.4k
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