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ExamplesConnectHospitalsCodesRequest dataGet access
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  5. /Percent of billed charges
CPT 99456

PR DISABILITY EXAM/OTHER DR

Reported by 39 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

$57

Average

$233

Median

$101

High

$1.5k

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$344$344——$344$600
2Northwest Iowa Hospital CorporationSioux City, IA$97$97——$97$371
3University of Iowa Health Care Medical Center DowntownIowa City, IA$1.7k$1.5k$425—$371$2.0k
4Meriter Hospital, IncMadison, WI$207$253$139—$146$604
5University of Iowa Health Care Medical CenterIowa City, IA$1.7k$1.5k$427—$371$3.6k
6IOM Health System LPFort Wayne, IN$97$102$43—$33$194
7Bluffton Health System LLCBluffton, IN$97$97$40—$30$194
8Dukes Health System LLCPeru, IN$99$101$39—$23$750
9Warsaw Health System LLCWarsaw, IN$99$105$42—$28$203
10Lutheran Musculoskeletal Center LLCFort Wayne, IN$86$95$40—$32$216
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