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  4. /Q0493
  5. /Case rate
HCPCS Q0493

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Reported by 33 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

$306

Average

$399

Median

$377

High

$494

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$320$442$227—$305$865
2Northwest Iowa Hospital CorporationSioux City, IA$315$315$5—$311$550
3St Luke's Methodist HospitalCedar Rapids, IA$315$315$5—$311$564
4Trinity Medical CenterRock Island, IL$321$444$225—$288$865
5Trinity Medical CenterBettendorf, IA$320$340$60—$311$550
6Unity HealthcareMuscatine, IA$383$494$195—$365$865
7Trinity Regional Medical CenterFort Dodge, IA$377$377$5—$372$585
8Meriter Hospital, IncMadison, WI$306$306——$306$306
9Central Iowa Hospital CorporationDes Moines, IA$315$315$5—$311$550
10Central Iowa Hospital CorporationDes Moines, IA$315$315$5—$311$609
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