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HIPPS CGQC0

Major Joint Replacement or Spinal Surgery, 10-23; SG Any two, Neither; CA1 Conditions requiring complex medical care e.g. pneumonia, surgical wounds, burns, No, 15-16; NC 6-8; Initial Patient Assessment

Reported by 2 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

$871

Average

$871

Median

$871

High

$871

Hospitals reporting this code

#HospitalLocation
1HCA Houston Rehabilitation Hospital SoutheastPasadena, TX$690$879$871$1.1k$171
2Hca Houston Healthcare SoutheastPASADENA, TX$690$879$871$1.1k$171

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