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  5. /Percent of billed charges

CDM 3118818445

HC PNH PROFILE/CD55

Reported by 8 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

$213

Average

$324

Median

$345

High

$435

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.
1Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$391$386$61—$263$456
2Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$222$219$94—$72$388
3St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$415$366$85—$172$481
4Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$217$213$89—$70$378
5Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$217$216$89—$70$378
6St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$461$434$57—$260$496
7Holy Rosary Healthcare Dba Intermountain Health Holy Rosary HospitalCITY, MT$441$435$39—$228$485
8Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$344$324$79—$116$395

Look up this code directly

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