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  4. /SUP-422061
  5. /Percent of billed charges

CDM SUP-422061

ANCHOR SUT SWVLCK C 4.75X19.1 MIN ORDER 5 EA

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

$475

Average

$935

Median

$940

High

$2.2k

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$717$859$2172,189–2,252$390$1.3k
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$894$918$2031,646–1,673$378$1.3k
3Holy Cross Hospital-Silver SpringSilver Spring, MD$1.0k$1000$271,530–1,638$910$1.0k
4St Peters HospitalAlbany, NY$448$560$2351,364–1,463$336$1.1k
5Mercy Health Saint MarysGrand Rapids, MI$599$675$1681,358–1,403$302$1.0k
6St Joseph Mercy Ann ArborYpsilanti, MI$417$502$1991,172–1,199$215$897
7St Mary Mercy LivoniaLivonia, MI$623$711$280575–629$288$1.5k
8Saint Francis Hospital and Medical CenterHartford, CT$610$603$70567–603$445$762
9Samaritan HospitalTroy, NY$417$512$211427–535$313$1.0k
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$837$989$277379–406$520$1.8k
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