Bundled Payment

Billing term

Definition

A single payment that covers all services related to a treatment or condition over a defined period. For example, a bundled joint replacement payment covers the surgery, hospital stay, implant, anesthesia, and rehab. Bundled payments incentivize efficient, coordinated care and provide cost predictability for patients.

Related Terms

  • CPT Code

    Current Procedural Terminology code — a standardized 5-digit numeric code used t...

  • ICD-10 Code

    International Classification of Diseases, 10th Revision — a standardized code sy...

  • Allowed Amount

    The maximum amount your insurance plan will pay for a covered service, based on ...

  • Balance Billing

    When an out-of-network provider bills you for the difference between their bille...

  • Chargemaster

    A hospital's comprehensive list of prices for every item and service, from aspir...

View Full Glossary

Understanding healthcare terminology helps you communicate more effectively with providers and make informed decisions about your care. Use our procedure cost database to find fair prices for any medical service.