☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /EAPG
  4. /00473
  5. /Case rate

EAPG 00473

CT GUIDANCE

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

$72

Average

$47.4k

Median

$212

High

$165.7k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$149.9k$165.7k$165.7k$181.4k$15.7k
2University of Iowa Health Care Medical CenterIowa City, IA$149.9k$165.7k$165.7k$181.4k$15.7k
3UPMC Horizon - GreenvilleGreenville, PA$69$72$72$75$3
4UPMC HamotErie, PA$75$285$260$395$140
5UPMC Childrens Hospital of PittsburghPittsburgh, PA$75$75$75$75—
6UPMC ChautauquaJamestown, NY$176$176$212$395$72
7UPMC JamesonNew Castle, PA$75$75$75$75—

Look up this code directly

Ask Claude or any MCP client for EAPG 00473 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC