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  5. /Case rate

NDC 83257000311

Trinity Medical Center

Reported by 6 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

$41

Average

$49

Median

$44

High

$72

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.
1Trinity Medical CenterRock Island, IL$47$72$46—$36$158
2Trinity Medical CenterBettendorf, IA$47$50$9—$36$78
3Sanford Medical Center BismarckBismarck, ND$42$41$1—$38$1.5k
4Sanford Worthington Medical CenterWorthington, MN$42$41$1—$38$2.5k
5Memorial Hospital of Laramie CountyCheyenne, WY$42$42$1—$41$6.2k
6Floyd Healthcare Management IncRome, GA$41$47$9—$40$7.6k

Look up this code directly

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