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CPT G0384

Lev 5 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

$288

Average

$1.6k

Median

$1.6k

High

$3.7k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$308$453$770$1.5k$442
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$387$416$1.6k$5.8k$1.9k
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$344$434$1.6k$5.8k$1.9k
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$303$434$1.5k$5.8k$1.8k
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$347$416$604$3.7k$751
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$347$435$1.6k$5.8k$1.9k
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$404$767$724$1.1k$253
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$402$3.1k$3.3k$5.8k$2.1k
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$329$416$758$3.7k$1.0k
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$406$4.2k$2.9k$5.1k$2.3k
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