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EAPG 0117

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Reported by 6 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

$95

Average

$97

Median

$97

High

$102

Hospitals reporting this code

#HospitalLocation
1Franciscan Health SystemTacoma, WA$92$96$95$97$2
2Harrison Medical CenterSilverdale, WA$95$101$102$109$5
3Highline Medical CenterBurien, WA$89$95$96$103$5
4Franciscan Health SystemGig Harbor, WA$91$97$97$105$5
5Saint Clare HospitalLakewood, WA$91$97$97$105$5
6St Francis Community HospitalFederal Way, WA$90$95$96$103$5

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