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  5. /Percent of billed charges

CDM 3207424041

HC DI X-RAY UPPER GI DELAY W/KUB (W/SM BOWEL)

Reported by 32 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

$216

Average

$955

Median

$999

High

$1.3k

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$18$1.1k$993$1.4k$286
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$21$1.1k$1.0k$1.4k$274
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$15$1.1k$1.0k$1.5k$285
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$26$1.2k$1.1k$1.2k$205
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$20$1.1k$1.0k$1.4k$278
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$147$219$216$256$34
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$197$611$603$1.1k$258
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$29$1.2k$1.1k$1.3k$255
9St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$364$875$772$1.0k$180
10IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$27$1.1k$1000$1.4k$266
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