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  5. /Percent of billed charges
CPT Q4038

WC CAST SUPPLIES

Reported by 4 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

$40

Average

$131

Median

$100

High

$283

Hospitals reporting this code

#HospitalLocation
1UPMC ColeCoudersport, PA$44$160$160$352$68
2Valley Regional HospitalCLAREMONT, NH$33$169$283$713$208
3Mary Hitchcock Memorial HospitalLebanon, NH$7$40$40$218$14
4Cheshire Medical CenterKeene, NH$8$45$40$131$15

Look up this code directly

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