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ExamplesConnectHospitalsCodesRequest dataGet access
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  5. /Percent of billed charges
CPT 99341

PR HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES

Reported by 25 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

$32

Average

$117

Median

$83

High

$306

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$113$113——$46$123
2Northwest Iowa Hospital CorporationSioux City, IA$32$32——$32$123
3University of Iowa Health Care Medical Center DowntownIowa City, IA$190$177$38—$46$206
4Meriter Hospital, IncMadison, WI$55$75$54—$22$225
5University of Iowa Health Care Medical CenterIowa City, IA$194$180$37—$46$206
6Northwestern Medicine Central DuPage HospitalWinfield, IL$52$56$22—$12$87
7Northwestern Memorial HospitalChicago, IL$56$61$25—$20$87
8Palos Community HospitalPalos Heights, IL$76$70$20—$39$87
9Vanderbilt Wilson County HospitalLebanon, TN$143$152$21—$34$231
10Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$143$152$21—$34$231
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