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EAPG 434

CLASS V CHEMOTHERAPY DRUGS

Reported by 11 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

$243

Average

$321

Median

$312

High

$390

Hospitals reporting this code

#HospitalLocation
1Lakewood RanchLakewood Ranch, FL—$238$243—$15
2Catholic Health Initiatives ColoradoColorado Springs, CO$289$289$289$289—
3Catholic Health Initiatives ColoradoColorado Springs, CO$331$331$331$331—
4St Francis HospitalColorado Springs, CO$289$289$289$289—
5Longmont United HospitalLongmont, CO$323$323$323$323—
6Catholic Health Initiatives ColoradoFrisco, CO$390$390$390$390—
7Catholic Health Initiatives ColoradoPueblo, CO$310$310$310$310—
8Catholic Health Initiatives ColoradoFort Morgan, CO$361$361$361$361—
9Catholic Health Initiatives ColoradoDurango, CO$390$390$390$390—
10Catholic Health Initiatives ColoradoLakewood, CO$312$312$312$312—
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