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  4. /SUP-330777
  5. /Percent of billed charges

CDM SUP-330777

PLATE-L 90D UPPRFACE 8HL 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

$197

Average

$368

Median

$363

High

$870

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$277$332$842,189–2,252$151$519
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$345$354$781,646–1,673$146$486
3Holy Cross Hospital-Silver SpringSilver Spring, MD$390$386$101,530–1,638$351$394
4St Peters HospitalAlbany, NY$173$218$931,364–1,463$130$433
5Mercy Health Saint MarysGrand Rapids, MI$298$336$841,358–1,403$151$519
6St Joseph Mercy Ann ArborYpsilanti, MI$201$242$961,172–1,199$104$433
7St Mary Mercy LivoniaLivonia, MI$259$295$116575–629$120$606
8Saint Francis Hospital and Medical CenterHartford, CT$235$233$27567–603$172$294
9Samaritan HospitalTroy, NY$173$215$90427–535$130$433
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$323$382$107379–406$201$692
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