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EAPG 00224

LEVEL II NEUROSTIMULATOR AND RELATED DEVICE IMPLANTATION

Reported by 7 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

$12.4k

Average

$9742.5k

Median

$20.1k

High

$34056.6k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$30820.4k$34056.6k$34056.6k$37292.7k$3236.1k
2University of Iowa Health Care Medical CenterIowa City, IA$30820.4k$34056.6k$34056.6k$37292.7k$3236.1k
3UPMC Horizon - GreenvilleGreenville, PA$11.9k$12.4k$12.4k$12.9k$476
4UPMC HamotErie, PA$12.9k$27.1k$26.1k$37.5k$11.4k
5UPMC Childrens Hospital of PittsburghPittsburgh, PA$12.9k$12.9k$12.9k$12.9k—
6UPMC ChautauquaJamestown, NY$16.7k$16.7k$20.1k$37.5k$6.8k
7UPMC JamesonNew Castle, PA$12.9k$12.9k$12.9k$12.9k—

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