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  5. /Percent of billed charges

CDM 36000127

HC COMPLEX LEVEL FIRST 15 MIN

Reported by 33 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

$204

Average

$601

Median

$293

High

$2.7k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$1.8k$2.4k$2.7k$5.0k$798
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$1.2k$2.4k$2.7k$5.0k$851
3Vanderbilt University Medical CenterNashville, TN$1.8k$2.5k$2.7k$5.0k$814
4Vanderbilt Bedford HospitalShelbyville, TN$1.2k$2.4k$2.7k$5.0k$844
5Baylor Scott & White Medical Center - TempleTemple, TX$69$255$266$413$78
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$57$230$204$413$115
7Baylor Scott & White Medical Center - TaylorTaylor, TX$92$255$231$386$100
8Baylor Scott & White Medical Center - HillcrestWaco, TX$55$252$250$390$73
9Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$80$312$284$427$97
10Baylor Scott & White Medical Center - Round RockRound Rock, TX$96$287$289$434$78
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