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  5. /Percent of billed charges
CPT 80505

HC PATH CLIN CONSLTJ HIGH 41-60

Reported by 109 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

Low

$69

Average

$281

Median

$209

High

$1.1k

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 Finley HospitalDubuque, IA$108$118$32—$72$396
2Northwest Iowa Hospital CorporationSioux City, IA$118$106$26—$51$457
3St Luke'sJones Regional Medical CenterAnamosa, IA$100$126$44—$71$195
4St Luke's Methodist HospitalCedar Rapids, IA$90$88$19—$65$427
5Trinity Medical CenterRock Island, IL$95$92$11—$77$486
6Trinity Medical CenterBettendorf, IA$90$88$16—$68$440
7Unity HealthcareMuscatine, IA$68$69$23—$45$515
8Trinity Regional Medical CenterFort Dodge, IA$125$134$29—$90$450
9Central Iowa Hospital CorporationDes Moines, IA$79$77$8—$65$417
10Central Iowa Hospital CorporationDes Moines, IA$71$69$15—$51$440
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