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  5. /Percent of billed charges
CPT 64629

HC TRML DSTRJ IOS BVN EA ADDL

Reported by 93 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 308–1,136 billing samples across every hospital reporting.

Low

$1

Average

$10.4k

Median

$9.9k

High

$81.7k

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.
1Northwestern Memorial HospitalChicago, IL$19.3k$21.8k$21.3k227–326$3.6k$19.3k
2Northwestern Medicine Central DuPage HospitalWinfield, IL$19.3k$29.9k$27.8k47–470$1.3k$19.3k
3Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$19.3k$24.3k$19.0k25–250$346$19.3k
4Kaiser Foundation Hospital - Redwood CityRedwood City, CA$262$420$2313–30——
5Kaiser Foundation Hospital - FontanaFONTANA, CA$6.0k$6.0k$2.5k2–20——
6Kaiser Foundation Hospital & Rehab Center - VallejoVALLEJO, CA$747$747—1–10——
7Kaiser Foundation Hospital - AntiochANTIOCH, CA$747$747—1–10——
8Massachusetts General HospitalBoston, MA$632$632—1–10$511$1.3k
9Brigham and Women's HospitalBoston, MA$632$632—1–10$511$1.3k
10The Finley HospitalDubuque, IA$9.6k$9.8k$3.9k—$176$15.0k
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