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HCPCS C7900

HC HOPD MNTL HLT, 15-29 MIN

Reported by 43 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

$28

Average

$243

Median

$40

High

$1.4k

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$30$30$1—$28$69
2Northwest Iowa Hospital CorporationSioux City, IA$30$30$0—$22$80
3St Luke's Methodist HospitalCedar Rapids, IA$29$29$0—$28$74
4Trinity Medical CenterRock Island, IL$32$33$5—$28$85
5Trinity Medical CenterBettendorf, IA$29$31$5—$28$77
6Unity HealthcareMuscatine, IA$28$30$5—$27$90
7Trinity Regional Medical CenterFort Dodge, IA$28$28$0—$28$78
8Meriter Hospital, IncMadison, WI$29$29——$23$96
9Central Iowa Hospital CorporationDes Moines, IA$29$29$0—$28$73
10Central Iowa Hospital CorporationDes Moines, IA$31$31$0—$23$77
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