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  5. /Percent of billed charges

CDM 43000002

HC OT UNLSTD PROC

Reported by 35 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

$122

Average

$351

Median

$362

High

$459

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$22$148$170$342$58
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$22$137$169$342$59
3Vanderbilt University Medical CenterNashville, TN$22$182$176$304$47
4Vanderbilt Bedford HospitalShelbyville, TN$22$137$169$342$59
5Memorial Hospital of Laramie CountyCheyenne, WY$104$125$122$136$9
6Baylor Scott & White Medical Center - TempleTemple, TX$104$384$391$623$119
7Baylor Scott & White Medical Center - BrenhamBrenham, TX$85$374$306$623$176
8Baylor Scott & White Medical Center - TaylorTaylor, TX$112$409$358$606$162
9Baylor Scott & White Medical Center - HillcrestWaco, TX$83$381$367$519$109
10Baylor University Medical CenterDallas, TX$105$359$345$7.4k$109
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