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  5. /Percent of billed charges
CPT 0504T

0504T NONINV EST FFR INTERP/REPORT

Reported by 12 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

Low

$120

Average

$422

Median

$140

High

$2.8k

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.
1IOM Health System LPFort Wayne, IN$110$123$46—$56$227
2Bluffton Health System LLCBluffton, IN$144$140$47—$54$204
3Dukes Health System LLCPeru, IN$133$136$41—$42$363
4Warsaw Health System LLCWarsaw, IN$134$134$46—$48$227
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$110$120$43—$54$227
6St. Joseph Health System, LLCWayne, IN$136$140$52—$54$227
7Dupont Hospital LLCWayne, IN$120$127$47—$55$204
8Vanderbilt Wilson County HospitalLebanon, TN$315$328$78—$33$525
9Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$315$327$78—$33$525
10Vanderbilt University Medical CenterNashville, TN$315$324$81—$33$525
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