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  5. /Percent of billed charges
CPT Q4133

SKIN GRAFT GRAFIX PRIME 14MM DISC, PER SQ CM

Reported by 67 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

$341

Average

$717

Median

$664

High

$2.7k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$218$451$465$892$175
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$13$759$688$949$199
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$15$759$698$949$190
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$11$759$698$1.1k$197
5Benefis Hospitals IncFalls, MT$148$2.0k$2.7k$5.6k$2.5k
6IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$16$698$664$738$123
7IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$14$759$694$949$193
8Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$589$876$866$1.0k$136
9Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$50$1.4k$1.4k$2.5k$606
10IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$17$697$652$787$152
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