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EAPG 00651

FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE PELVIS AND HIP

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

$87

Average

$107.4k

Median

$208

High

$375.5k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$339.8k$375.5k$375.5k$411.2k$35.7k
2University of Iowa Health Care Medical CenterIowa City, IA$339.8k$375.5k$375.5k$411.2k$35.7k
3UPMC Horizon - GreenvilleGreenville, PA$84$87$87$90$3
4UPMC HamotErie, PA$90$280$260$388$131
5UPMC Childrens Hospital of PittsburghPittsburgh, PA$90$90$90$90—
6UPMC ChautauquaJamestown, NY$172$172$208$388$71
7UPMC JamesonNew Castle, PA$90$90$90$90—

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