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Final Standardized Payment Amount

CLM_FINL_STDZD_PYMT_AMT

A MONETARY AMOUNT SIGNIFYING THE FINAL STANDARD PAYMENT AMOUNT FOR HOSPITALS PAID UNDER THE INPATIENT PROSPECTIVE PAYMENT SYSTEMS (IPPS), MARYLAND HOSPITALS, AND HOME HEALTH AGENCIES.

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.adjudication.where(
category.coding.where(
system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication'
) and
category.coding.where(
code = 'CLM_FINL_STDZD_PYMT_AMT'
)
).amount.value
Coverage / Claim Type
  • HHA
  • Inpatient
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_FINL_STDZD_PYMT_AMT
Sources
  • FISS
  • NCH
Profiles
  • CMS

Example

98.44
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