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  5. /Percent of billed charges

CDM 47100059

HC AEP THRSHLD EST MLT FREQ I&R

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

$600

Average

$745

Median

$694

High

$1.0k

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$206$915$905$1.4k$268
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$193$860$701$1.4k$407
3Baylor Scott & White Medical Center - TaylorTaylor, TX$236$684$600$995$271
4Baylor Scott & White Medical Center - HillcrestWaco, TX$174$884$845$1.2k$252
5Baylor University Medical CenterDallas, TX$201$687$654$7.4k$195
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$189$687$628$888$225
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$206$746$752$1.1k$203
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$206$907$884$1.2k$232
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$130$687$658$967$209
10Baylor Scott & White Medical Center - PlanoPlano, TX$142$711$687$888$177
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