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EAPG 252

LEVEL I EAR, NOSE, MOUTH AND THROAT PROCEDURES

Reported by 30 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

$511

Average

$2.1k

Median

$2.6k

High

$3.2k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$2.5k$2.5k$2.6k$2.7k$119
2Northwest Iowa Hospital CorporationSioux City, IA$2.5k$2.5k$2.6k$2.7k$119
3St Luke'sJones Regional Medical CenterAnamosa, IA$2.9k$2.9k$3.0k$3.2k$140
4St Luke's Methodist HospitalCedar Rapids, IA$2.5k$2.5k$2.6k$2.7k$119
5Trinity Medical CenterRock Island, IL$2.4k$3.3k$3.2k$3.3k$269
6Trinity Medical CenterBettendorf, IA$2.5k$2.5k$2.6k$2.7k$119
7Unity HealthcareMuscatine, IA$2.9k$2.9k$3.0k$3.2k$140
8Trinity Regional Medical CenterFort Dodge, IA$2.9k$2.9k$3.0k$3.2k$140
9Meriter Hospital, IncMadison, WI$511$511$511$511—
10Central Iowa Hospital CorporationDes Moines, IA$2.5k$2.5k$2.6k$2.7k$119
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