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  4. /00944-2700-07
  5. /Case rate

NDC 00944-2700-07

IG GAMMAGRLQ30GM/3DL IVJW

Reported by 13 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

$53

Average

$228

Median

$54

High

$887

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.
1Dignity Community CareSan Luis Obispo, CA$54$54$7—$45$36.8k
2Alegent Creighton HealthOmaha, NE$47$53$17—$37$11.9k
3Alegent Creighton HealthPapillion, NE$47$53$17—$37$11.9k
4Alegent Health Bergan Mercy Health SystemOmaha, NE$47$53$16—$46$11.9k
5Alegent Health Immanuel Medical CenterOmaha, NE$47$53$17—$37$11.9k
6Alegent Health Bergan Mercy Health SystemCouncil Bluffs, IA$47$53$17—$37$11.9k
7Alegent Health Bergan Mercy Health SystemOmaha, NE$47$53$16—$37$11.9k
8Trinity Hospital Holding CompanySteubenville, OH$42$68$54—$41$6.1k
9The Mercy Hospital IncSpringfield, MA$392$392——$46$10.8k
10Diley Ridge Medical CenterCanal Winchester, OH$632$632——$42$10.1k
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