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  5. /Percent of billed charges

CDM 75000509

HC PROCTOSIGMOIDOSCOPY

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

$415

Average

$621

Median

$660

High

$726

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$165$612$638$992$188
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$136$553$489$992$276
3Baylor Scott & White Medical Center - TaylorTaylor, TX$165$459$415$693$180
4Baylor Scott & White Medical Center - HillcrestWaco, TX$132$606$599$937$175
5Baylor University Medical CenterDallas, TX$191$715$679$7.4k$239
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$180$699$636$955$217
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$173$515$520$779$139
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$165$606$625$937$166
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$124$699$651$955$203
10Baylor Scott & White Medical Center - PlanoPlano, TX$135$715$680$955$174
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