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  5. /Percent of billed charges
CPT 97004

RE-EVALUATION OT

Reported by 6 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

$78

Average

$170

Median

$164

High

$292

Hospitals reporting this code

#HospitalLocation
1Hca Florida Largo West HospitalLARGO, FL$11$55$78$225$63
2Catholic Health Initiatives ColoradoFrisco, CO$59$211$196$716$57
3Catholic Health Initiatives ColoradoPueblo, CO$72$248$292$686$115
4Catholic Health Initiatives ColoradoDurango, CO$62$171$153$626$39
5Catholic Health Initiatives ColoradoCanon City, CO$32$161$124$686$67
6Memorial Hospital of Laramie CountyCheyenne, WY$172$172$175$188$6

Look up this code directly

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