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  5. /Percent of billed charges
CPT 53866

PR CATHJ RMVL TEMP DEV ISCHMC RMDLG BLDR NECK&PRST8

Reported by 40 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

$82

Average

$5.7k

Median

$384

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$292$292——$74$293
2Northwest Iowa Hospital CorporationSioux City, IA$82$82——$74$186
3University of Iowa Health Care Medical Center DowntownIowa City, IA$416$381$75—$74$618
4University of Iowa Health Care Medical CenterIowa City, IA$416$386$73—$74$618
5HMA Santa Rosa Medical Center LLCMilton, FL$7.3k$8.4k$4.4k—$135$16.0k
6Virginia Mason Medical CenterSeattle, WA$522$515$48—$447$596
7Geisinger Bloomsburg HospitalBloomsburg, PA$342$373$133—$1$12.2k
8Geisinger Wyoming ValleyWilkes-Barre, PA$414$382$138—$1$23.2k
9Geisinger Medical CenterDanville, PA$383$379$119—$1$1.2k
10Northside Hospital, Inc.Lawrenceville, GA$35k$37.0k$10.5k—$68$50k
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