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  5. /Case rate

EAPG 00346

RADIOSURGERY

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

$2.6k

Average

$1894.1k

Median

$5.2k

High

$6619.5k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$5990.5k$6619.5k$6619.5k$7248.5k$629.0k
2University of Iowa Health Care Medical CenterIowa City, IA$5990.5k$6619.5k$6619.5k$7248.5k$629.0k
3UPMC Horizon - GreenvilleGreenville, PA$2.5k$2.6k$2.6k$2.7k$100
4UPMC HamotErie, PA$2.7k$7.0k$6.6k$9.7k$3.1k
5UPMC Childrens Hospital of PittsburghPittsburgh, PA$2.7k$2.7k$2.7k$2.7k—
6UPMC ChautauquaJamestown, NY$4.3k$4.3k$5.2k$9.7k$1.8k
7UPMC JamesonNew Castle, PA$2.7k$2.7k$2.7k$2.7k—

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