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ExamplesConnectHospitalsCodesRequest dataGet access
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  5. /Case rate
HCPCS 25066

Biopsy of deep tissue of forearm and/or wrist

Reported by 22 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

$1.6k

Average

$4.0k

Median

$3.7k

High

$7.5k

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$2.1k$3.6k$6.2k———
2Valley Health Speciality HospitalLas Vegas, NV$2.2k$3.7k$6.4k———
3Summerlin Hospital Medical CenterLas Vegas, NV$2.2k$3.7k$6.4k———
4West Henderson HospitalHenderson, NV$2.2k$3.7k$6.4k———
5Henderson HospitalHenderson, NV$2.2k$3.7k$6.4k———
6Centennial HillsLas Vegas, NV$2.2k$3.7k$6.4k———
7McAllen Hospitals, LPMcAllen, TX$3.4k$3.7k$1.7k———
8McAllen Hospitals, LPEdinburg, TX$3.4k$3.7k$1.7k———
9Northwest Texas Healthcare System, Inc.Amarillo, TX$943$2.0k$1.7k———
10The George Washington University HospitalWashington, DC$3.2k$5.0k$5.6k———
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