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  4. /SUP-683418
  5. /Percent of billed charges

CDM SUP-683418

PLATE 4.5MM TI LCP STR RECON 5

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

$426

Average

$843

Median

$845

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$644$772$1952,189–2,252$350$1.2k
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$803$824$1821,646–1,673$339$1.1k
3Holy Cross Hospital-Silver SpringSilver Spring, MD$908$898$241,530–1,638$818$917
4St Peters HospitalAlbany, NY$403$503$2111,364–1,463$302$1.0k
5Mercy Health Saint MarysGrand Rapids, MI$579$652$1621,358–1,403$292$1.0k
6St Joseph Mercy Ann ArborYpsilanti, MI$375$451$1791,172–1,199$193$805
7St Mary Mercy LivoniaLivonia, MI$602$687$270575–629$278$1.4k
8Saint Francis Hospital and Medical CenterHartford, CT$548$541$62567–603$399$684
9Samaritan HospitalTroy, NY$403$495$203427–535$302$1.0k
10Mount Carmel New Albany Surgical HospitalNew Albany, OH$752$888$249379–406$467$1.6k
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