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HCPCS Q4199

CYGNUS MATRIX 1SQCM

Reported by 13 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

$11

Average

$2.3k

Median

$366

High

$15k

Hospitals reporting this code

#HospitalLocation
1Hca Florida North Florida HospitalNEWBERRY, FL$0$15k$15k$15k—
2Hca Florida Palms West HospitalLOXAHATCHEE, FL$550$550$550$14.7k—
3Hca Florida Jfk North HospitalWest Palm Beach, FL$138$550$550$8.0k—
4Hca Florida Jfk HospitalPALM BEACH GARDENS, FL$138$550$550$2.4k—
5VHS Harper-Hutzel Hospital IncDetroit, MI$1$11$11$16$3
6VHS Huron Valley-Sinai Hospital IncCommerce Charter Twp, MI$1$11$11$16$3
7Porter Hospital LLCValparaiso, IN$118$118$118$8.9k—
8Catholic Health Initiatives ColoradoFrisco, CO$125$195$195$195—
9Memorial Hospital of Laramie CountyCheyenne, WY$134$134$134$134—
10Uniontown HospitalUniontown, PA$127$172$172$295—
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