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  5. /Percent of billed charges
CPT 86807

HC PRA SCREEN

Reported by 95 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

$21

Average

$514

Median

$374

High

$4.9k

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$118$117$38—$47$181
2Northwest Iowa Hospital CorporationSioux City, IA$103$90$27—$46$155
3St Luke'sJones Regional Medical CenterAnamosa, IA$113$117$39—$71$178
4St Luke's Methodist HospitalCedar Rapids, IA$82$80$17—$59$155
5Trinity Medical CenterRock Island, IL$86$84$10—$70$180
6Trinity Medical CenterBettendorf, IA$82$80$14—$62$155
7Unity HealthcareMuscatine, IA$57$63$23—$41$180
8Trinity Regional Medical CenterFort Dodge, IA$114$122$26—$79$155
9Central Iowa Hospital CorporationDes Moines, IA$72$70$8—$59$155
10Central Iowa Hospital CorporationDes Moines, IA$65$63$14—$47$157
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