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  5. /Percent of billed charges
CPT 96202

PR MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60

Reported by 17 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

$29

Average

$88

Median

$81

High

$207

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.
1University of Iowa Health Care Medical Center DowntownIowa City, IA$74$69$13—$20$149
2University of Iowa Health Care Medical CenterIowa City, IA$74$70$13—$20$149
3Aurora Medical Center SummitSummit, WI$78$81$13—$60$102
4Aurora St Lukes Medical Center of Aurora Health Care Metro IncMilwaukee, WI$78$81$13—$60$102
5Aurora West Allis Medical CenterWest Allis, WI$78$81$13—$60$102
6Aurora Medical Center OshkoshOshkosh, WI$78$81$13—$60$102
7Aurora Sinai Medical Center of Aurora Health Care Metro IncMilwaukee, WI$78$81$13—$60$102
8Aurora Medical Center Sheboygan CountySheboygan, WI$78$81$13—$60$102
9Aurora St Lukes South Shore of Aurora Health Care Metro IncCudahy, WI$78$81$13—$60$102
10Aurora Medical Center Fond du LacFond Du Lac, WI$78$81$13—$60$102
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