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  5. /Percent of billed charges
CPT 49189

PR OPEN EXC/DSTRJ INTRA-ABDL TUMOR/CST 20.1-30 CM

Reported by 36 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

$1.3k

Average

$7.9k

Median

$2.4k

High

$37.0k

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.
1The Finley HospitalDubuque, IA$4.7k$4.7k——$2.1k$5.3k
2Northwest Iowa Hospital CorporationSioux City, IA$1.3k$1.3k——$1.3k$5.3k
3University of Iowa Health Care Medical Center DowntownIowa City, IA$1.0k$3.2k$3.3k—$0$12.8k
4Meriter Hospital, IncMadison, WI$2.5k$3.3k$1.9k—$1.6k$6.8k
5University of Iowa Health Care Medical CenterIowa City, IA$1.0k$3.2k$3.3k—$0$12.8k
6Saint Francis Hospital and Medical CenterHartford, CT$1.2k$1.5k$1.5k—$37$6.0k
7St Joseph Mercy Ann ArborYpsilanti, MI$1.2k$1.6k$1.4k—$37$5.2k
8Holy Cross Hospital-Silver SpringSilver Spring, MD$808$2.2k$2.0k—$37$5.0k
9Catholic Health Initiatives-Iowa CorpDes Moines, IA$972$2.4k$2.5k—$19$8.1k
10Vanderbilt Wilson County HospitalLebanon, TN$7.1k$7.4k$1.8k—$963$11.8k
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