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  5. /Case rate
HCPCS C7902

REMOTE BH DX/EVAL/TX EACH ADDITIONAL 15 MINUTES

Reported by 18 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

$300

Average

$695

Median

$472

High

$997

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.
1Aurora Medical Center SummitSummit, WI$462$472$18—$30$503
2Aurora St Lukes Medical Center of Aurora Health Care Metro IncMilwaukee, WI$462$472$18—$30$503
3Aurora West Allis Medical CenterWest Allis, WI$462$472$18—$30$503
4Aurora Medical Center OshkoshOshkosh, WI$462$472$18—$30$503
5Aurora Sinai Medical Center of Aurora Health Care Metro IncMilwaukee, WI$462$472$18—$30$503
6Aurora Medical Center Sheboygan CountySheboygan, WI$462$472$18—$30$503
7Aurora St Lukes South Shore of Aurora Health Care Metro IncCudahy, WI$462$472$18—$30$503
8Aurora Medical Center Fond du LacFond Du Lac, WI$462$472$18—$30$503
9Aurora Psychiatric HospitalWauwatosa, WI$462$472$18—$30$503
10Tri-City Medical CenterOceanside, CA$300$300——$8$627
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