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  5. /Percent of billed charges
CPT 77370

HC SPECIAL PHYSICS CONSULT

Reported by 400 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 10,764–10,890 billing samples across every hospital reporting.

Low

$1

Average

$1.2k

Median

$823

High

$21.2k

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 Medicine Central DuPage HospitalWinfield, IL$3.4k$19.0k$24.0k10,751–10,760$138$2.0k
2Aurora Sinai Medical Center of Aurora Health Care Metro IncMilwaukee, WI$943$998$1614–40$725$2.2k
3Herbert J Thomas Memorial Hospital AssociationSouth Charleston, WV$701$701—3–30$102$649
4Wheeling Hospital, Inc.Wheeling, WV$722$722—2–20$84$548
5AHS Hillcrest Medical Center, LLCTulsa, OK$988$1.0k$4501–10$118$1.7k
6Catholic Health Initiatives ColoradoColorado Springs, CO$1.9k$2.1k$8901–10$148$3.8k
7West Virginia University Hospitals, Inc.Morgantown, WV$497$497—1–10$84$343
8Saint Michaels Medical CenterNewark, NJ$128$128—1–10$110$823
9The Finley HospitalDubuque, IA$434$473$151—$117$657
10Northwest Iowa Hospital CorporationSioux City, IA$230$198$68—$85$354
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