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  4. /C9898
  5. /Case rate
HCPCS C9898

NM TOKEN CHARGE

Reported by 15 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

$1

Average

$19.6k

Median

$24.5k

High

$24.5k

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.
1Hca Florida Orange Park HospitalMIDDLEBURG, FL$15k$15k——$0$15k
2Hca Florida Gulf Coast HospitalPANAMA CITY, FL$15k$15k——$0$15k
3Hca Florida West HospitalPENSACOLA, FL$15k$15k——$1$15k
4Methodist Hospital AtascosaJourdanton, TX$24.5k$24.5k——$24.5k$24.5k
5Methodist Texsan Hospital RehabSAN ANTONIO, TX$24.5k$24.5k——$24.5k$24.5k
6Methodist Hospital Westover HillsSAN ANTONIO, TX$24.5k$24.5k——$24.5k$24.5k
7Methodist Hospital Stone OakSan Antonio, TX$24.5k$24.5k——$24.5k$24.5k
8Methodist Specialty And TransplantSAN ANTONIO, TX$24.5k$24.5k——$24.5k$24.5k
9Stone Oak RehabSAN ANTONIO, TX$24.5k$24.5k——$24.5k$24.5k
10Methodist Texsan HospitalSAN ANTONIO, TX$24.5k$24.5k——$24.5k$24.5k
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