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  5. /Percent of billed charges

APC N805

Durable Medical Equipment

Reported by 7 hospitals in the network under the percent of billed charges 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 percentage of total billed charges.

National pricing summary

Low

$227

Average

$346

Median

$364

High

$622

Hospitals reporting this code

#HospitalLocation
1Billings ClinicBillings, MT—$227$227—$20
2Providence Health and Services - OregonMilwaukie, OR—$254$254——
3Corewell Helen Devos Childrens HospitalGrand Rapids, MI—$355$364—$63
4Corewell Health Blodgett HospitalEast Grand Rapids, MI—$355$364—$63
5Corewell Health Butterworth HospitalGrand Rapids, MI—$355$364—$63
6Corewell Health Pennock HospitalHastings, MI—$236$229—$95
7Lakeland Hospitals at Niles and St Joseph IncSt Joseph, MI—$622$622—$374

Look up this code directly

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