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  5. /Percent of billed charges

CDM SUP-526266

KNEE PAT POLY MDOME #09

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

$523

Average

$1.0k

Median

$1.0k

High

$2.5k

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$791$947$2402,189–2,252$430$1.5k
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$986$1.0k$2231,646–1,673$417$1.4k
3Holy Cross Hospital-Silver SpringSilver Spring, MD$1.1k$1.1k$301,530–1,638$1.0k$1.1k
4St Peters HospitalAlbany, NY$494$617$2591,364–1,463$371$1.2k
5Mercy Health Saint MarysGrand Rapids, MI$710$800$1991,358–1,403$358$1.2k
6St Joseph Mercy Ann ArborYpsilanti, MI$460$554$2191,172–1,199$237$988
7St Mary Mercy LivoniaLivonia, MI$738$843$332575–629$342$1.7k
8Saint Francis Hospital and Medical CenterHartford, CT$672$665$77567–603$490$840
9Samaritan HospitalTroy, NY$494$607$250427–535$371$1.2k
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$923$1.1k$305379–406$573$2.0k
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