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  5. /Case rate

ICD 02BH3ZZ

EPS/CARDIAC ABLATION

Reported by 15 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

$12.3k

Average

$22.2k

Median

$20.5k

High

$45.2k

Hospitals reporting this code

#HospitalLocation
1Dignity Community CareNorthridge, CA$18.6k$18.6k$20.3k$25.3k$2.6k
2Dignity HealthCamarillo, CA$31.2k$31.2k$31.2k$31.2k—
3Dignity Community CareLos Angeles, CA$14.5k$21.3k$19.6k$21.3k$3.0k
4Dignity HealthLas Vegas, NV$12.3k$12.3k$12.3k$12.3k—
5Port City Operating Company, LlcStockton, CA$19.3k$35.7k$30.4k$35.7k$6.8k
6Dignity Community CareGlendale, CA$11.7k$21.5k$20.5k$33.6k$6.2k
7Dignity HealthSan Bernardino, CA$7.9k$15.2k$17.3k$30.6k$7.8k
8Dignity HealthSacramento, CA$31.4k$48.5k$45.2k$52.3k$8.2k
9Dignity HealthHenderson, NV$12.3k$12.3k$12.3k$12.3k—
10Dignity HealthLong Beach, CA$14.5k$25.8k$22.9k$25.8k$4.9k
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