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HCPCS S0280

Medical home, initial plan

Reported by 81 hospitals in the network.

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.

National pricing summary

Low

$0

Average

$79

Median

$50

High

$539

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$233$550$539$823$284
2Trinity Medical CenterRock Island, IL$233$277$498$823$282
3Unity HealthcareMuscatine, IA$233$550$539$823$284
4St Joseph’s Health Services IncHillsboro, WI$56$318$289$349$89
5Gundersen Luthern Medical Center IncLa Crosse, WI$10$56$48$56$17
6Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$56$175$182$323$127
7Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$10$10$10$10—
8Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$56$349$307$349$103
9Memorial Hospital of BoscobelBoscobel, WI$56$272$245$272$72
10Tri-County Memorial Hospital IncWhitehall, WI$56$273$242$273$76
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