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  5. /Percent of billed charges
CPT 80503

HC PATH CLIN CONSLTJ SF 5-20

Reported by 171 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 20–200 billing samples across every hospital reporting.

Low

$31

Average

$121

Median

$78

High

$869

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.
1The Presbyterian HospitalCharlotte, NC$133$133—13–130——
2Catholic Health Initiatives ColoradoDurango, CO$137$123$374–40$21$165
3The University of Texas Medical BranchGalveston, TX$34$41$162–20$5$68
4Knapp Medical CenterWeslaco, TX$31$31—1–10$15$260
5The Finley HospitalDubuque, IA$67$73$20—$45$123
6Northwest Iowa Hospital CorporationSioux City, IA$73$66$16—$32$143
7St Luke'sJones Regional Medical CenterAnamosa, IA$62$78$27—$44$121
8St Luke's Methodist HospitalCedar Rapids, IA$56$55$12—$41$133
9Trinity Medical CenterRock Island, IL$59$57$7—$42$152
10Trinity Medical CenterBettendorf, IA$56$55$10—$43$137
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