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CPT Q5100

USTEKINUMAB-KFCE 130 MG/26 ML INTRAVENOUS SOLUTION

Reported by 3 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

$942

Average

$1.3k

Median

$942

High

$2.0k

Hospitals reporting this code

#HospitalLocation
1Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$1.3k$2.0k$2.0k$2.3k$311
2IHC Health Services Inc., DBA Intermountain Primary Children's HospitalCity, UT$446$905$942$1.1k$127
3IHC Health Services Inc., DBA Intermountain Primary Children's HospitalLehi, UT$446$905$942$1.1k$127

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