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  5. /Case rate
HCPCS 36585

HB RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT

Reported by 27 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

$2.5k

Average

$5.5k

Median

$6.2k

High

$9.1k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$1.3k$7.9k$7.5k$10.2k$2.6k
2University of Iowa Health Care Medical CenterIowa City, IA$1.3k$9.5k$9.1k$10.2k$1.0k
3McAllen Hospitals, LPMcAllen, TX—$1.2k$3.0k—$2.2k
4McAllen Hospitals, LPMcAllen, TX—$1.2k$3.0k—$2.2k
5McAllen Hospitals, LPEdinburg, TX—$1.2k$3.0k—$2.2k
6Northwest Texas Healthcare System, Inc.Amarillo, TX—$1.8k$2.5k—$1.8k
7The George Washington University HospitalWashington, DC—$3.6k$6.6k—$7.9k
8Wellington Regional Medical CenterWellington, FL—$10.6k$7.9k—$4.6k
9Palmdale Regional Medical CenterPalmdale, CA—$4.4k$4.8k—$2.8k
10Temecula Valley HospitalTemecula, CA—$6.4k$6.1k—$3.2k
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