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  5. /Case rate
HCPCS 12057

HB INTERM REPAIR-FACE/EAR/EYE/NOSE/LIP/MM 30CM+

Reported by 23 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

$325

Average

$2.8k

Median

$2.9k

High

$8.9k

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$3.1k$3.1k——$376$3.1k
2McAllen Hospitals, LPMcAllen, TX$158$575$693———
3McAllen Hospitals, LPEdinburg, TX$158$575$693———
4McAllen Hospitals, LPMcAllen, TX$158$575$693———
5McAllen Hospitals, LPEdinburg, TX$158$575$693———
6Northwest Texas Healthcare System, Inc.Amarillo, TX$219$325$225———
7Wellington Regional Medical CenterWellington, FL$4.5k$3.9k$1.7k———
8Palmdale Regional Medical CenterPalmdale, CA$2.8k$2.9k$1.7k———
9Temecula Valley HospitalTemecula, CA$5.3k$4.9k$3.3k———
10Southwest HealthcareTemecula, CA$424$3.1k$3.6k———
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