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  4. /SUP-294247
  5. /Percent of billed charges

CDM SUP-294247

PLATE L 6HL R

Reported by 47 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

Based on 13,875–14,928 billing samples across every hospital reporting.

Low

$224

Average

$417

Median

$413

High

$983

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Mercy Health Hackley CampusMuskogen, MI$315$377$962,189–2,252$171$591
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$393$403$891,646–1,673$166$553
3Holy Cross Hospital-Silver SpringSilver Spring, MD$444$439$121,530–1,638$400$448
4St Peters HospitalAlbany, NY$197$248$1051,364–1,463$148$492
5Mercy Health Saint MarysGrand Rapids, MI$340$383$951,358–1,403$171$591
6St Joseph Mercy Ann ArborYpsilanti, MI$229$276$1091,172–1,199$118$492
7St Mary Mercy LivoniaLivonia, MI$294$336$132575–629$136$689
8Saint Francis Hospital and Medical CenterHartford, CT$268$265$31567–603$195$335
9Samaritan HospitalTroy, NY$197$245$102427–535$148$492
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$368$434$122379–406$228$788
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