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HCPCS H2035

HC PHP ED GROUP 60MIN RESDTL

Reported by 8 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

$19

Average

$94

Median

$89

High

$200

Hospitals reporting this code

#HospitalLocation
1Sharp Coronado Hospital and Healthcare CenterCoronado, CA$19$200$200$272—
2Fairview Health ServicesMinneapolis, MN$25$89$89$397$5
3Fairview Health ServicesEdina, MN$24$89$89$397$5
4Fairview Health ServicesBurnsville, MN$24$89$89$397$5
5HealthEast St John's HospitalMaplewood, MN$24$89$89$397$5
6Fairview Health ServicesPrinceton, MN$3$8$19$728$23
7Fairview Health ServicesWyoming, MN$31$89$89$397$5
8HealthEast Woodwinds HospitalWoodbury, MN$24$89$89$397$5

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