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  5. /Case rate
HCPCS 37223

HB REVASCULARIZATION, ILIAC, EA ADD'L W/STENT

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

$3.4k

Average

$7.9k

Median

$7.0k

High

$14.2k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$2.3k$12.6k$10.2k$14.8k$5.1k
2University of Iowa Health Care Medical CenterIowa City, IA$3.3k$13.5k$13.4k$14.8k$1.1k
3Spring Valley Hospital Medical CenterLas Vegas, NV—$3.0k$3.7k—$1.8k
4Valley Health Speciality HospitalLas Vegas, NV—$3.1k$3.8k—$1.9k
5Summerlin Hospital Medical CenterLas Vegas, NV—$3.1k$3.8k—$1.9k
6West Henderson HospitalNV 89052, NV—$3.1k$3.8k—$1.9k
7Henderson HospitalHenderson, NV—$3.1k$3.8k—$1.9k
8Centennial HillsLas Vegas, NV—$3.1k$3.8k—$1.9k
9McAllen Hospitals, LPMcAllen, TX—$10.0k$10.0k——
10McAllen Hospitals, LPMcAllen, TX—$10.0k$10.0k——
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