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  5. /Percent of billed charges

CDM SUP-376067

TOGGLELOC W/ZIPLOOP #7 PE 50

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

$425

Average

$840

Median

$842

High

$2.0k

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$643$769$1952,189–2,252$349$1.2k
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$801$822$1821,646–1,673$338$1.1k
3Holy Cross Hospital-Silver SpringSilver Spring, MD$905$895$241,530–1,638$815$914
4St Peters HospitalAlbany, NY$402$501$2101,364–1,463$301$1.0k
5Mercy Health Saint MarysGrand Rapids, MI$577$650$1621,358–1,403$291$1.0k
6St Joseph Mercy Ann ArborYpsilanti, MI$374$450$1781,172–1,199$193$803
7St Mary Mercy LivoniaLivonia, MI$600$685$269575–629$278$1.4k
8Saint Francis Hospital and Medical CenterHartford, CT$546$540$62567–603$398$683
9Samaritan HospitalTroy, NY$402$493$203427–535$301$1.0k
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$750$886$248379–406$466$1.6k
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