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  4. /SUP-683133
  5. /Percent of billed charges

CDM SUP-683133

PLATE 4.5MM LCP STR RECON 8HL/

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

$497

Average

$982

Median

$984

High

$2.3k

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$751$899$2282,189–2,252$408$1.4k
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$936$960$2121,646–1,673$395$1.3k
3Holy Cross Hospital-Silver SpringSilver Spring, MD$1.1k$1.0k$281,530–1,638$953$1.1k
4St Peters HospitalAlbany, NY$469$586$2461,364–1,463$352$1.2k
5Mercy Health Saint MarysGrand Rapids, MI$674$760$1891,358–1,403$340$1.2k
6St Joseph Mercy Ann ArborYpsilanti, MI$436$526$2081,172–1,199$225$938
7St Mary Mercy LivoniaLivonia, MI$701$800$315575–629$324$1.6k
8Saint Francis Hospital and Medical CenterHartford, CT$638$631$73567–603$465$797
9Samaritan HospitalTroy, NY$469$576$237427–535$352$1.2k
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$876$1.0k$290379–406$544$1.9k
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