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  5. /Percent of billed charges
CPT 55T

BONE SRGRY CMPTR CT/MRI IMAG

Reported by 4 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 13–130 billing samples across every hospital reporting.

Low

$0

Average

$392

Median

$0

High

$1.6k

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.
1Forsyth Memorial Hospital, Inc.Winston-Salem, NC$1$1.6k$2.5k5–50——
2The Presbyterian HospitalCharlotte, NC$1$0$04–40——
3Novant Health New Hanover Regional Medical Center LLCWilmington, NC$0$0$03–30$361$3.7k
4Novant Health Matthews Medical Center LLCMatthews, NC$1$1—1–10——

Look up this code directly

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