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  5. /Percent of billed charges
CPT 66989

PR XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1+

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

Based on 112–1,120 billing samples across every hospital reporting.

Low

$1.2k

Average

$13.8k

Median

$10.1k

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.
1Northwestern Memorial HospitalChicago, IL$23.6k$23.2k$10.6k65–650$3.5k$9.2k
2Northwestern Medicine Delnor HospitalGeneva, IL$20.3k$18.3k$8.7k26–260$2.5k$6.8k
3Northwestern Lake Forest HospitalLake Forest, IL$25.2k$22.4k$12.2k21–210$6.2k$6.8k
4University of Iowa Health Care Medical Center DowntownIowa City, IA$386$1.2k$1.3k—$0$3.8k
5University of Iowa Health Care Medical CenterIowa City, IA$386$1.2k$1.3k—$0$3.8k
6Bluffton Health System LLCBluffton, IN$25.7k$27.6k$10.5k—$774$43.2k
7Porter Hospital LLCValparaiso, IN$12.6k$13.5k$4.3k—$682$21.3k
8Foley Hospital Company LLCFoley, AL$32.2k$30.1k$7.3k—$755$36.3k
9Crestview Hospital CorporationCrestview, FL$28.3k$25.7k$13.5k—$810$41.7k
10Granbury Hospital CorporationGranbury, TX$21.8k$22.9k$9.4k—$796$37.0k
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