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  5. /Case rate
HCPCS A4290

Sacral nerve stim test lead

Reported by 13 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

$11

Average

$499

Median

$624

High

$632

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.
1The Finley HospitalDubuque, IA$624$624——$624$624
2Trinity Medical CenterRock Island, IL$624$624——$624$624
3Unity HealthcareMuscatine, IA$624$624——$624$624
4VHS Harper-Hutzel Hospital IncDetroit, MI$11$11$3—$1$16
5VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$11$11$3—$1$16
6The Mercy Hospital IncSpringfield, MA$392$392——$392$800
7Plymouth Medical CenterPlymouth, IN$524$524——$270$1k
8Mishawaka Medical CenterMishawaka, IN$524$524——$260$1k
9Mount Carmel New Albany Surgical HospitalNew Albany, OH$632$632——$464$1.6k
10Mount Carmel Grove CityGrove City, OH$632$632——$464$1.6k
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