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  5. /Percent of billed charges
CPT 94011

PR MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT&/2 Y

Reported by 39 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

$63

Average

$262

Median

$224

High

$772

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$224$224——$77$257
2Northwest Iowa Hospital CorporationSioux City, IA$63$63——$63$257
3Central Iowa Hospital CorporationDes Moines, IA$87$85$9—$72$381
4Central Iowa Hospital CorporationDes Moines, IA$78$77$17—$56$402
5Med City Heart HospitalDallas, TX$230$249$143—$43$617
6Med City Spine HospitalDALLAS, TX$230$249$143—$43$617
7Medical City DallasDallas, TX$274$275$159—$43$617
8Virginia Mason Medical CenterSeattle, WA$333$329$30—$285$380
9UPMC Childrens Hospital of PittsburghPittsburgh, PA$239$264$78—$91$754
10Vanderbilt Wilson County HospitalLebanon, TN$271$288$46—$55$436
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