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  5. /Percent of billed charges
CPT 93598

PR CAR OUTP MEAS DRG CAR CATH EVAL CGEN HRT DEFECT

Reported by 122 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

$47

Average

$1.7k

Median

$451

High

$11.4k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$0$33$96$665$101
2Allen Memorial Hospital CorporationWaterloo, IA$281$378$396$490$69
3University of Iowa Health Care Medical CenterIowa City, IA$0$33$96$665$101
4UnityPoint Health MarshalltownMarshalltown, IA$265$551$460$604$138
5Med City Heart HospitalDallas, TX$32$165$194$503$112
6Med City Spine HospitalDALLAS, TX$32$165$194$503$112
7Medical City DallasDallas, TX$32$203$213$503$125
8Medical City PlanoPlano, TX$66$339$422$1.0k$251
9Northwestern Medicine Central DuPage HospitalWinfield, IL$55$399$449$795$230
10Northwestern Memorial HospitalChicago, IL$154$557$557$795$240
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