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  5. /Percent of billed charges
CPT 66991

PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1+

Reported by 45 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 2,517–3,120 billing samples across every hospital reporting.

Low

$863

Average

$12.0k

Median

$7.8k

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$23.9k$23.1k$10.7k2,135$1.8k$9.4k
2Northwestern Lake Forest HospitalLake Forest, IL$25.9k$23.0k$12.5k315$6.2k$6.8k
3Clara Maass Medical CenterBelleville, NJ$5.2k$5.2k$1.1k32–320$628$11.5k
4Northwestern Medicine Delnor HospitalGeneva, IL$20.9k$18.8k$9.0k26–260$2.5k$6.8k
5The Presbyterian HospitalCharlotte, NC$2.5k$1.9k$8613–30$5.2k$10.3k
6Pender Memorial Hospital, IncorporatedBurgaw, NC$366$863$7023–30——
7Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$2.2k$2.2k$4361–10$464$3.6k
8The Presbyterian HospitalHuntersville, NC$3.9k$3.9k—1–10$5.2k$10.3k
9Brunswick Community Hospital, LLCBolivia, NC$986$986—1–10$5.7k$12.8k
10University of Iowa Health Care Medical Center DowntownIowa City, IA$308$981$1.0k—$0$3.0k
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