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  4. /99345
  5. /Percent of billed charges
CPT 99345

PR HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES

Reported by 37 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

$129

Average

$423

Median

$304

High

$929

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$458$458——$184$497
2Northwest Iowa Hospital CorporationSioux City, IA$129$129——$129$497
3University of Iowa Health Care Medical Center DowntownIowa City, IA$771$718$156—$184$834
4Meriter Hospital, IncMadison, WI$170$232$168—$68$700
5University of Iowa Health Care Medical CenterIowa City, IA$785$728$148—$184$834
6Northwestern Medicine Central DuPage HospitalWinfield, IL$227$245$94—$54$378
7Northwestern Memorial HospitalChicago, IL$242$264$110—$88$378
8Palos Community HospitalPalos Heights, IL$331$302$86—$170$378
9IOM Health System LPFort Wayne, IN$207$233$87—$105$402
10Bluffton Health System LLCBluffton, IN$277$268$91—$102$402
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