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  5. /Case rate

ICD 02NG3ZZ

DA VINCI CARDIAC

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

$6k

Average

$37.0k

Median

$42.8k

High

$62.0k

Hospitals reporting this code

#HospitalLocation
1Dignity Community CareNorthridge, CA$6k$20.5k$23.7k$47.9k$18.3k
2Dignity Community CareSacramento, CA$34.7k$34.7k$34.7k$34.7k—
3Port City Operating Company, LlcStockton, CA$35.0k$47.9k$50.0k$67.3k$13.3k
4Dignity Community CareGlendale, CA$6k$6k$6k$6k—
5Dignity HealthSan Bernardino, CA$27.8k$39.8k$42.8k$63.9k$13.1k
6Dignity HealthSanta Cruz, CA$51.7k$62.0k$62.0k$72.3k$10.3k
7Dignity HealthSacramento, CA$39.9k$49.8k$54.0k$72.3k$13.5k
8Dignity HealthLong Beach, CA$6k$6k$6k$6k—
9Dignity HealthCarmichael, CA$40.6k$50.7k$54.1k$71.0k$12.6k

Look up this code directly

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