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  5. /Percent of billed charges
CPT 96934

PR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ I&R ADD

Reported by 3 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

$76

Average

$162

Median

$142

High

$269

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$269$269——$106$279
2Northwest Iowa Hospital CorporationSioux City, IA$76$76——$76$279
3The University of Texas Medical BranchGalveston, TX$82$142$96—$66$336

Look up this code directly

Ask Claude or any MCP client for CPT 96934 pricing at a specific hospital — see how to connect.

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