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HIPPS GBME1

Other Orthopedic, 10-23; SB None, Either; CDE1 Conditions requiring complex medical care e.g. pneumonia, surgical wounds, burns, No, 0-5; NE 1-2; PPS 5-day Assessment

Reported by 2 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$767

Average

$767

Median

$767

High

$767

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.
1HCA Houston Rehabilitation Hospital SoutheastPasadena, TX$776$767$90—$668$895
2Hca Houston Healthcare SoutheastPASADENA, TX$776$767$90—$668$895

Look up this code directly

Ask Claude or any MCP client for HIPPS GBME1 pricing at a specific hospital — see how to connect.

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