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EAPG 00436

CLASS II PHARMACOTHERAPY

Reported by 5 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

$92

Average

$108

Median

$95

High

$149

Hospitals reporting this code

#HospitalLocation
1UPMC Horizon - GreenvilleGreenville, PA$88$92$92$95$4
2UPMC HamotErie, PA$91$150$149$205$56
3UPMC Childrens Hospital of PittsburghPittsburgh, PA$95$95$95$95—
4UPMC ChautauquaJamestown, NY$91$91$110$205$37
5UPMC JamesonNew Castle, PA$95$95$95$95—

Look up this code directly

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