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  5. /Percent of billed charges
CPT 87485

CHG CHYLMD PNEUM, DNA, DIR PROBE

Reported by 18 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

$12

Average

$252

Median

$218

High

$704

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$58$58——$12$58
2Northwest Iowa Hospital CorporationSioux City, IA$16$16——$12$39
3Med City Heart HospitalDallas, TX$597$526$294—$12$1.2k
4Med City Spine HospitalDALLAS, TX$597$526$294—$12$1.2k
5Medical City DallasDallas, TX$640$577$318—$12$1.2k
6Hca Florida Northwest HospitalMARGATE, FL$48$57$32—$16$156
7Hca Florida St. Lucie HospitalSTUART, FL$77$96$54—$20$252
8Hca Florida Putnam HospitalPalatka, FL$163$188$110—$18$446
9Hca Florida Woodmont HospitalTAMARAC, FL$319$416$245—$20$1.0k
10Hca Florida Westside HospitalPLANTATION, FL$38$53$35—$13$178
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Look up this code directly

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