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  5. /Percent of billed charges
CPT G0451

PR DEVLOPMENT TEST INTERPT&REP

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

$59

Average

$126

Median

$79

High

$493

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.
1University of Iowa Health Care Medical Center DowntownIowa City, IA$63$59$12—$10$68
2University of Iowa Health Care Medical CenterIowa City, IA$63$60$12—$10$68
3Harrington Cancer CenterAmarillo, TX$548$476$138—$83$666
4BSA HospitalAmarillo, TX$548$493$135—$83$666
5Virginia Mason Medical CenterSeattle, WA$194$192$18—$166$222
6St Joseph Mercy OaklandPontiac, MI$62$75$28—$22$140
7Mercy Health Services-Iowa Corp.Mason City, IA$53$63$18—$26$586
8Baylor Scott & White Medical Center - TempleTemple, TX$108$108$33—$28$290
9Baylor Scott & White Medical Center - BrenhamBrenham, TX$103$82$49—$23$290
10Baylor Scott & White Medical Center - TaylorTaylor, TX$69$60$28—$24$290
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Look up this code directly

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