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  5. /Percent of billed charges
CPT J9220

INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INTRAVENOUS SOLUTION

Reported by 13 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

$49

Average

$759

Median

$785

High

$1.2k

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$17$1.2k$1.1k$1.7k$311
2IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$1$54$282$585$254
3Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$33$49$49$57$8
4Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$20$800$775$2.0k$642
5IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$27$1.1k$1.0k$1.2k$239
6IHC Health Services Inc., DBA Intermountain Health Layton HospitalLayton, UT$68$1.2k$1.1k$1.7k$308
7Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$20$61$60$106$25
8IHC Health Services, Inc,. DBA Intermountain Health Alta View HospitalSandy, UT$48$1.2k$1.1k$1.5k$305
9Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$20$800$785$2.0k$642
10IHC Health Services Inc., DBA Intermountain Health Park City HospitalPark City, UT$35$1.1k$1.1k$1.2k$139
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