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  4. /23930
  5. /Case rate
HCPCS 23930

I&D UP ARM OR ELBW ABSC/HEM450

Reported by 21 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

$266

Average

$4.3k

Median

$3.9k

High

$11.4k

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.
1Spring Valley Hospital Medical CenterLas Vegas, NV$1.7k$2.8k$4.2k———
2Valley Health Speciality HospitalLas Vegas, NV$1.7k$2.9k$4.3k———
3Summerlin Hospital Medical CenterLas Vegas, NV$1.7k$2.9k$4.3k———
4West Henderson HospitalHenderson, NV$1.7k$2.9k$4.3k———
5Henderson HospitalHenderson, NV$1.7k$2.9k$4.3k———
6Centennial HillsLas Vegas, NV$1.7k$2.9k$4.3k———
7The George Washington University HospitalWashington, DC$2.4k$4.7k$5.7k———
8Wellington Regional Medical CenterWellington, FL$10.2k$7.5k$4.3k———
9Portland Adventist Medical CenterPortland, OR$2.3k$3.2k$1.7k—$801$12.1k
10Ukiah Adventist HospitalUkiah, CA$5.3k$5.4k$688—$233$6.3k
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