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  5. /Case rate
HCPCS 0571T

HB INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE

Reported by 6 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

$3.8k

Average

$21.7k

Median

$13.5k

High

$68.2k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1University of Iowa Health Care Medical Center DowntownIowa City, IA$19.5k$17.3k$6.9k—$6.1k$31.7k
2University of Iowa Health Care Medical CenterIowa City, IA$20.9k$21.5k$2.4k—$6.1k$31.7k
3Ressurection Medical CenterChicago, IL$3.8k$3.8k——$951$31.2k
4Nebraska Medical CenterOmaha, NE$9.6k$9.6k——$9.6k$194.7k
5Bellevue Medical Center LlcBellevue, NE$9.6k$9.6k——$9.6k$194.7k
6University Of Miami Hosp & ClinicsMiami, FL$68.2k$68.2k$4.1k—$32.1k$137.8k

Look up this code directly

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