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  5. /Percent of billed charges
CPT J0139

INJ ADALIMUMAB (HUMIRA) 40MG/0.8ML PRESV FREE SYRINGE KIT

Reported by 7 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

$0

Average

$7.1k

Median

$6.3k

High

$16.5k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$212$247$244$282$23
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$133$6.8k$6.3k$8.6k$1.7k
3Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$9.4k$14.0k$13.8k$16.3k$2.2k
4Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$50$16.7k$16.5k$29.1k$7.1k
5St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$50$14.8k$13.1k$17.2k$3.0k
6Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$0$0$0$50—
7Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$0$0$0$50—

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