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  4. /SUP-563593
  5. /Percent of billed charges

CDM SUP-563593

BONE INSERT XPANSE MED-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

$98

Average

$361

Median

$360

High

$848

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$270$323$822,189–2,252$147$506
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$336$345$761,646–1,673$142$474
3Holy Cross Hospital-Silver SpringSilver Spring, MD$380$376$101,530–1,638$342$384
4St Peters HospitalAlbany, NY$175$220$941,364–1,463$131$437
5Mercy Health Saint MarysGrand Rapids, MI$405$457$1141,358–1,403$204$705
6St Joseph Mercy Ann ArborYpsilanti, MI$82$98$391,172–1,199$42$175
7St Mary Mercy LivoniaLivonia, MI$252$288$113575–629$117$590
8Saint Francis Hospital and Medical CenterHartford, CT$229$227$26567–603$167$287
9Samaritan HospitalTroy, NY$169$209$87427–535$126$421
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$315$372$104379–406$196$674
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