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  5. /Case rate
HCPCS J0615

CALC ACET 667MG ESRD PO

Reported by 28 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

$0

Average

$5.2k

Median

$591

High

$19.8k

Hospitals reporting this code

#HospitalLocation
1Hca Florida Orange Park HospitalMIDDLEBURG, FL$1$15k$15k$15k—
2Hca Florida Memorial HospitalJACKSONVILLE, FL$2$15k$15k$15k—
3Hca Florida Osceola HospitalORLANDO, FL$1$15k$15k$15k—
4Hca Florida Jfk North HospitalWest Palm Beach, FL$1$550$550$550—
5Hca Houston MainlandTexas City, TX$0$500$467$600$125
6HCA Houston Rehabilitation Hospital SoutheastPasadena, TX$1$500$467$600$125
7Hca Houston Healthcare Clear LakeFRIENDSWOOD, TX$0$500$467$600$125
8Hca Houston Healthcare SoutheastPASADENA, TX$1$500$467$600$125
9Ucf Lake Nona HospitalOrlando, FL$0$15k$15k$15k—
10Northwest Sahurita Hospital LLCAZ 85748, AZ$0$0$0$0$0
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