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  5. /Percent of billed charges
CPT 98977

HB Rtm Dev Sply Data Muscskel Sys 16-30 D in 30d Pd

Reported by 78 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

Based on 3–30 billing samples across every hospital reporting.

Low

$51

Average

$101

Median

$83

High

$181

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.
1Northwestern Medicine Central DuPage HospitalWinfield, IL$54$53$333–30$7$103
2Northwestern Memorial HospitalChicago, IL$72$72$31—$20$103
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL$69$71$21—$19$103
4Northwestern Medicine Valley West HospitalSandwich, IL$62$54$30—$7$103
5Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$49$53$22—$20$103
6Northwestern Medicine Delnor HospitalGeneva, IL$66$61$27—$15$103
7Northwestern Lake Forest HospitalLake Forest, IL$47$54$30—$17$103
8Palos Community HospitalPalos Heights, IL$66$65$32—$16$103
9Northwestern Medicine Marianjoy Rehabilitation HospitalWheaton, IL$62$68$19—$43$103
10Catholic Health Initiatives ColoradoColorado Springs, CO$56$65$27—$29$271
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