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  5. /Percent of billed charges

CDM 36000113

HC PRQ TRLUML C ATHRC 1 ART&/BR

Reported by 30 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

$192

Average

$1.1k

Median

$264

High

$25.3k

Hospitals reporting this code

#HospitalLocation
1Memorial Hospital of Laramie CountyCheyenne, WY$12.0k$25.9k$25.3k$28.3k$1.8k
2Baylor Scott & White Medical Center - TempleTemple, TX$65$240$250$389$74
3Baylor Scott & White Medical Center - BrenhamBrenham, TX$53$217$192$389$108
4Baylor Scott & White Medical Center - TaylorTaylor, TX$86$240$217$363$94
5Baylor Scott & White Medical Center - HillcrestWaco, TX$52$238$235$367$68
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$70$272$248$372$84
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$91$270$272$408$73
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$65$238$245$367$65
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$48$272$253$372$79
10Baylor Scott & White Medical Center - PlanoPlano, TX$52$278$265$372$68
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