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  5. /Case rate
HCPCS 33904

HB PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL

Reported by 16 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

$1.1k

Average

$1.9k

Median

$1.9k

High

$3.2k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$2.3k$2.9k$2.9k$14.6k$508
2University of Iowa Health Care Medical CenterIowa City, IA$2.8k$3.0k$3.2k$14.6k$368
3Spring Valley Hospital Medical CenterLas Vegas, NV—$853$1.9k—$2.0k
4Valley Health Speciality HospitalLas Vegas, NV—$1.4k$2.0k—$2.1k
5Summerlin Hospital Medical CenterLas Vegas, NV—$1.4k$2.0k—$2.1k
6West Henderson HospitalNV 89052, NV—$1.4k$2.0k—$2.1k
7Henderson HospitalHenderson, NV—$1.4k$2.0k—$2.1k
8Centennial HillsLas Vegas, NV—$1.4k$2.0k—$2.1k
9The George Washington University HospitalWashington, DC—$976$1.3k—$965
10Wellington Regional Medical CenterWellington, FL—$2.5k$2.2k—$866
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