Chg Hospital Austin, Llc's negotiated rates run bottom of market for Round Rock across common Rehabilitation Unit procedures, based on Transparency in Coverage data from 1 major payer.
On balance, Chg Hospital Austin, Llc's negotiated rates trend bottom of market for Round Rock, though this varies by payer and procedure.
Across the 3 procedures benchmarked for this provider, most negotiated rates land below the local market.
Gigasheet collects negotiated rates published by every payer under the federal Transparency in Coverage rule, then normalizes and cleanses them into a single analysis-ready dataset. We enrich those rates with provider, geographic, and reimbursement data from proprietary and open source healthcare intelligence, then benchmark every rate against Medicare, peer providers, and the local market.
For Chg Hospital Austin, Llc, that covers common Rehabilitation Unit procedures across Aetna, BCBS, Cigna, and UnitedHealthcare. In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
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This provider's published rates, compared code by code against the market they compete in.
This provider's negotiated rates, keyed to NPI 1396326948.
For each code, negotiated rates from comparable Rehabilitation Unit providers in the Round Rock market form a distribution. Its median and percentile bands anchor the benchmark, alongside Medicare reference rates.
Each procedure is scored against its market distribution for the same code. Above, at, or below market reflects where this provider's rate sits relative to that market.
The score above is a blended view of this provider's rate position, produced by Gigasheet's proprietary methodology. It is rooted in published Transparency in Coverage data and normalized for statistical comparison. Position can vary significantly from one payer or procedure to the next. Upgrade to full access to see the evidence behind the Rate Score, including payer-level and procedure-level detail.
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