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  5. /Percent of billed charges
CPT Q5125

INJ FILGRASTIM-AYOW (RELEUKO) 480MCG/0.8ML PF SUV SYRINGE

Reported by 9 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

$1

Average

$626

Median

$742

High

$801

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$1$1$1$1$0
2Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$450$669$661$781$104
3Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$50$802$791$1.4k$339
4St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$50$710$627$823$146
5Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$50$802$789$1.4k$328
6Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$50$802$801$1.4k$331
7St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITALButte, MT$445$789$742$849$97
8Holy Rosary Healthcare Dba Intermountain Health Holy Rosary HospitalCITY, MT$390$755$745$830$67
9Brighton Community Hospital Association Dba Intermountain Health Platte Valley HospitalBRIGHTON, CO$0$509$479$585$117

Look up this code directly

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