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  5. /Percent of billed charges
CPT 92618

PR EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN

Reported by 61 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

$24

Average

$201

Median

$170

High

$602

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$86$86——$41$86
2Northwest Iowa Hospital CorporationSioux City, IA$24$24——$24$86
3Vicksburg Healthcare LLCVicksburg, MS$593$602$324—$28$1.5k
4Foley Hospital Company LLCFoley, AL$632$585$150—$1$713
5Sanford Medical Center BismarckBismarck, ND$246$231$39—$29$266
6Vanderbilt Wilson County HospitalLebanon, TN$63$67$17—$26$103
7Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$63$67$17—$26$103
8Vanderbilt University Medical CenterNashville, TN$62$66$18—$26$103
9Vanderbilt Bedford HospitalShelbyville, TN$63$67$17—$26$103
10Aurora St Lukes Medical Center of Aurora Health Care Metro IncMilwaukee, WI$235$225$24—$171$378
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