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EAPG 00483

RADIATION THERAPY MANAGEMENT

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

$110

Average

$115.7k

Median

$342

High

$404.4k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$365.9k$404.4k$404.4k$442.8k$38.4k
2University of Iowa Health Care Medical CenterIowa City, IA$365.9k$404.4k$404.4k$442.8k$38.4k
3UPMC Horizon - GreenvilleGreenville, PA$106$110$110$114$4
4UPMC HamotErie, PA$114$460$418$637$227
5UPMC Childrens Hospital of PittsburghPittsburgh, PA$114$114$114$114—
6UPMC ChautauquaJamestown, NY$283$283$342$637$116
7UPMC JamesonNew Castle, PA$114$114$114$114—

Look up this code directly

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