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  4. /SUP-354689
  5. /Percent of billed charges

CDM SUP-354689

BONE FIB SEG 11CM +

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

$77

Average

$156

Median

$137

High

$632

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$99$119$302,189–2,252$54$186
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$149$153$341,646–1,673$63$209
3Holy Cross Hospital-Silver SpringSilver Spring, MD$399$395$111,530–1,638$359$403
4St Peters HospitalAlbany, NY$62$78$331,364–1,463$47$155
5Mercy Health Saint MarysGrand Rapids, MI$125$141$351,358–1,403$63$217
6St Joseph Mercy Ann ArborYpsilanti, MI$87$104$411,172–1,199$45$186
7St Mary Mercy LivoniaLivonia, MI$93$106$42575–629$43$217
8Saint Francis Hospital and Medical CenterHartford, CT$84$84$10567–603$62$106
9Samaritan HospitalTroy, NY$62$77$32427–535$47$155
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$116$137$38379–406$72$632
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