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  5. /Percent of billed charges
CPT 0516T

PR INSERTION WRLS CAR STIMULATOR LV PACG ELTRD ONLY

Reported by 83 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

$1.1k

Average

$9.8k

Median

$10.1k

High

$25.1k

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.
1University of Iowa Health Care Medical Center DowntownIowa City, IA$478$1.4k$1.5k—$0$3.5k
2Central Iowa Hospital CorporationDes Moines, IA$6.6k$6.5k$699—$5.5k$25.5k
3Central Iowa Hospital CorporationDes Moines, IA$6.0k$5.9k$1.3k—$4.3k$26.9k
4University of Iowa Health Care Medical CenterIowa City, IA$478$1.4k$1.5k—$0$3.5k
5Mount Carmel DublinDublin, OH$5.0k$5.6k$1.3k—$4.5k$31.3k
6Mount Carmel Grove CityGrove City, OH$5.0k$5.8k$1.5k—$632$37.6k
7Mount Carmel St Ann'sWesterville, OH$5.0k$5.8k$1.5k—$632$37.6k
8Mount Carmel EastColumbus, OH$5.0k$5.8k$1.5k—$632$37.6k
9UPMC Passavant - McCandlessPittsburgh, PA$5.3k$5.0k$1.7k—$81$11.0k
10Vanderbilt Wilson County HospitalLebanon, TN$1.0k$1.1k$253—$345$1.7k
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