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  5. /Percent of billed charges
CPT 98978

PR REM THER MNTR DEV SPLY DATA COG BHV THER EA 30 D

Reported by 22 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

$13

Average

$87

Median

$92

High

$133

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$45$145$133$298$33
2University of Iowa Health Care Medical CenterIowa City, IA$45$149$133$298$33
3Northwestern Medicine Central DuPage HospitalWinfield, IL$17$66$70$120$30
4Northwestern Memorial HospitalChicago, IL$23$84$84$120$36
5Northwestern Medicine Kishwaukee HospitalDeKalb, IL$22$81$83$120$24
6Northwestern Medicine Valley West HospitalSandwich, IL$8$68$63$120$35
7Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$23$47$59$120$27
8Northwestern Medicine Delnor HospitalGeneva, IL$20$77$73$120$27
9Northwestern Lake Forest HospitalLake Forest, IL$20$58$65$120$37
10Palos Community HospitalPalos Heights, IL$17$77$77$120$36
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