☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /EAPG
  4. /649
  5. /Case rate

EAPG 649

OTHER PATHOLOGICAL FRACTURES W/O MUSCULOSKELETAL MALIGNANCY

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

$120

Average

$564

Median

$728

High

$927

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$729$729$754$803$35
2Northwest Iowa Hospital CorporationSioux City, IA$729$729$754$803$35
3St Luke'sJones Regional Medical CenterAnamosa, IA$857$857$886$944$41
4St Luke's Methodist HospitalCedar Rapids, IA$729$729$754$803$35
5Trinity Medical CenterRock Island, IL$703$955$927$955$79
6Trinity Medical CenterBettendorf, IA$729$729$754$803$35
7Unity HealthcareMuscatine, IA$857$857$886$944$41
8Trinity Regional Medical CenterFort Dodge, IA$857$857$886$944$41
9Meriter Hospital, IncMadison, WI$120$120$120$120—
10Central Iowa Hospital CorporationDes Moines, IA$729$729$754$803$35
Page 1 of 3

Look up this code directly

Ask Claude or any MCP client for EAPG 649 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC