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ExamplesConnectHospitalsCodesRequest dataGet access
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  4. /G0153
  5. /Percent of billed charges
CPT G0153

HH / Hspc St Visit

Reported by 16 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

$23

Average

$111

Median

$127

High

$134

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.
1Prisma Health Greenville Memorial HospitalGREENVILLE, SC$140$128$57—$35$510
2Prisma Health Baptist Easley HospitalEASLEY, SC$144$128$58—$35$510
3Prisma Health Richland HospitalCOLUMBIA, SC$144$129$58—$35$510
4Prisma Health Baptist Parkridge HospitalCOLUMBIA, SC$144$129$58—$35$510
5Prisma Health Oconee Memorial HospitalSENECA, SC$135$119$61—$27$510
6Prisma Health Hillcrest HospitalSIMPSONVILLE, SC$140$127$57—$35$510
7Prisma Health Greer Memorial HospitalGREER, SC$140$127$57—$35$510
8Prisma Health Baptist Columbia HospitalCOLUMBIA, SC$144$130$58—$35$510
9Prisma Health Tuomey HospitalSUMTER, SC$140$128$59—$35$510
10Prisma Health Patewood HospitalGREENVILLE, SC$140$127$57—$35$510
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