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EAPG 471

LEVEL I CONVENTIONAL RADIOLOGY

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

$14

Average

$93

Median

$115

High

$142

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$111$111$115$123$5
2Northwest Iowa Hospital CorporationSioux City, IA$111$111$115$123$5
3St Luke'sJones Regional Medical CenterAnamosa, IA$131$131$135$144$6
4St Luke's Methodist HospitalCedar Rapids, IA$111$111$115$123$5
5Trinity Medical CenterRock Island, IL$107$146$142$146$12
6Trinity Medical CenterBettendorf, IA$111$111$115$123$5
7Unity HealthcareMuscatine, IA$131$131$135$144$6
8Trinity Regional Medical CenterFort Dodge, IA$131$131$135$144$6
9Meriter Hospital, IncMadison, WI$14$14$14$14—
10Central Iowa Hospital CorporationDes Moines, IA$111$111$115$123$5
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