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EAPG 352

LEVEL I PERIODONTICS

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

$102

Average

$792

Median

$662

High

$1.8k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$529$529$547$583$25
2Northwest Iowa Hospital CorporationSioux City, IA$529$529$547$583$25
3St Luke'sJones Regional Medical CenterAnamosa, IA$622$622$643$685$30
4St Luke's Methodist HospitalCedar Rapids, IA$529$529$547$583$25
5Trinity Medical CenterRock Island, IL$511$693$673$693$57
6Trinity Medical CenterBettendorf, IA$529$529$547$583$25
7Unity HealthcareMuscatine, IA$622$622$643$685$30
8Trinity Regional Medical CenterFort Dodge, IA$622$622$643$685$30
9Meriter Hospital, IncMadison, WI$102$102$102$102—
10Central Iowa Hospital CorporationDes Moines, IA$529$529$547$583$25
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