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  5. /Percent of billed charges
CPT 87250

CHG VIRUS ID,INOC TEST,OBS/DISSECT

Reported by 45 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

$13

Average

$163

Median

$173

High

$302

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$45$45——$12$45
2Northwest Iowa Hospital CorporationSioux City, IA$13$13——$12$30
3University of Iowa Health Care Medical Center DowntownIowa City, IA$122$113$25—$19$132
4University of Iowa Health Care Medical CenterIowa City, IA$124$115$23—$19$132
5Gadsden Regional Medical Center LLCGadsden, AL$161$155$48—$14$1.5k
6East Georgia Regional Medical Center LLCStatesboro, GA$312$302$106—$16$900
7Virginia Mason Medical CenterSeattle, WA$76$75$7—$65$86
8UPMC ColeCoudersport, PA$171$168$77—$7$248
9UPMC Western MarylandCumberland, MD$270$270——$270$270
10Northside Hospital, Inc.Lawrenceville, GA$70$68$27—$11$107
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