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  5. /Percent of billed charges
CPT 96121

PR NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR

Reported by 99 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

$62

Average

$330

Median

$331

High

$1.1k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$62$218$218$218—
2Northwest Iowa Hospital CorporationSioux City, IA$62$62$62$203—
3Medical Ctiy ArgyleArgyle, TX$33$180$204$465$125
4St Luke's Methodist HospitalCedar Rapids, IA$199$318$283$348$60
5University of Iowa Health Care Medical Center DowntownIowa City, IA$62$320$299$494$57
6Meriter Hospital, IncMadison, WI$24$61$84$268$60
7University of Iowa Health Care Medical CenterIowa City, IA$62$320$302$494$55
8Medical City DentonArgyle, TX$33$180$204$465$125
9Northwestern Medicine Central DuPage HospitalWinfield, IL$164$690$744$1.1k$285
10Northwestern Memorial HospitalChicago, IL$223$805$804$1.1k$345
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