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  5. /Percent of billed charges
CPT 80504

HC PATH CLIN CONSLTJ MOD 21-40

Reported by 125 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 22–31 billing samples across every hospital reporting.

Low

$47

Average

$264

Median

$179

High

$1.0k

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.
1The University of Texas Medical BranchGalveston, TX$68$82$3222–31$10$136
2The Finley HospitalDubuque, IA$108$118$32—$72$396
3Northwest Iowa Hospital CorporationSioux City, IA$118$106$26—$51$457
4St Luke'sJones Regional Medical CenterAnamosa, IA$100$126$44—$71$195
5St Luke's Methodist HospitalCedar Rapids, IA$90$88$19—$65$427
6Trinity Medical CenterRock Island, IL$95$92$11—$77$486
7Trinity Medical CenterBettendorf, IA$90$88$16—$68$440
8Unity HealthcareMuscatine, IA$68$69$23—$45$515
9Trinity Regional Medical CenterFort Dodge, IA$125$134$29—$90$450
10Central Iowa Hospital CorporationDes Moines, IA$79$77$8—$65$417
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