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  5. /Percent of billed charges
CPT Q5126

INJ, BEVACIZUMAB-MALY (ALYMSYS) BIOSIMILAR 10MG PF SDV

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

$140

Average

$6.2k

Median

$7.7k

High

$9.9k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$120$140$140$163$13
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$31$2.0k$3.6k$7.9k$2.5k
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$22$2.0k$3.6k$8.8k$2.5k
4Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$2.2k$6.4k$8.1k$15.4k$5.1k
5Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$50$7.0k$9.8k$27.8k$7.7k
6St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$50$4.9k$7.7k$16.2k$5.1k
7Intermountain Front Range Inc. Dba Intermountain Health Lutheran HospitalWHEAT RIDGE, CO$50$7.0k$9.8k$27.8k$7.6k
8IHC Health Services Inc., DBA Intermountain Primary Children's HospitalCity, UT$748$1.5k$1.6k$1.8k$212
9Good Samaritan Medical Center, Llc DbaLAFAYETTE, CO$50$7.0k$9.9k$27.8k$7.6k
10IHC Health Services Inc., DBA Intermountain Primary Children's HospitalLehi, UT$748$1.5k$1.6k$1.8k$212
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