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  4. /Q5138
  5. /Case rate
HCPCS Q5138

Inj, wezlana, iv, 1 mg

Reported by 9 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

$12

Average

$12

Median

$12

High

$13

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.
1Sanford Fargo Medical CenterFargo, ND$12$12$0—$11$12
2Sanford Medical Center BismarckBismarck, ND$12$12$0—$11$2.4k
3Sanford Bemidji Medical CenterBemidji, MN$12$12$0—$11$12
4Sanford USD Medical CenterSioux Falls, SD$12$12$0—$11$4.4k
5Sanford Aberdeen Medical CenterAberdeen, SD$12$12$0—$11$12
6Sanford Worthington Medical CenterWorthington, MN$12$12$0—$11$12
7Memorial Hospital of Laramie CountyCheyenne, WY$12$12——$12$12
8Floyd Healthcare Management IncRome, GA$12$13$3—$12$17
9Columbus Regional Healthcare System, IncWhiteville, NC$12$12——$12$12

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