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  5. /Percent of billed charges
CPT 92227

PR IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI

Reported by 43 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

$10

Average

$98

Median

$52

High

$217

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$16$37$37$41—
2Northwest Iowa Hospital CorporationSioux City, IA$10$10$10$41—
3University of Iowa Health Care Medical Center DowntownIowa City, IA$15$52$49$56$10
4University of Iowa Health Care Medical CenterIowa City, IA$15$52$49$56$10
5Virginia Mason Medical CenterSeattle, WA$119$139$138$159$13
6Vanderbilt Wilson County HospitalLebanon, TN$5$39$44$108$11
7Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$5$39$44$108$12
8Vanderbilt University Medical CenterNashville, TN$5$40$46$108$12
9Vanderbilt Bedford HospitalShelbyville, TN$5$39$44$108$12
10West Virginia University Hospitals, Inc.Morgantown, WV$12$52$52$150$4
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