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HCPCS 92552

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Reported by 10 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

$26

Average

$139

Median

$132

High

$317

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$22$74$72$330$4
2Adventist Health Medical Center TehachapiTehachapi, CA$22$118$118$217$3
3Sonora Community HospitalSonora, CA$22$159$153$330$7
4Glendale Adventist Medical CenterGlendale, CA$22$125$121$385$6
5Reedley Community HospitalReedley, CA$9$26$26$616$1
6Adventist Health Clearlake Hospital IncClearlake, CA$12$146$138$531$76
7San Joaquin Community HospitalBakersfield, CA$22$151$146$548$7
8Lodi Memorial Hospital Association IncLodi, CA$22$192$178$402$19
9White Memorial Medical CenterAngeles, CA$22$328$317$1.1k$15
10Willits Hospital IncWillits, CA$22$126$126$164—

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