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  5. /Percent of billed charges
HCPCS 97016

PT VASOPNEUMATIC DEVICE 420

Reported by 35 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

$39

Average

$97

Median

$93

High

$196

Hospitals reporting this code

#HospitalLocation
1McAllen Hospitals, LPMcAllen, TX—$55$63—$49
2McAllen Hospitals, LPMcAllen, TX—$55$63—$49
3McAllen Hospitals, LPEdinburg, TX—$55$63—$49
4Northwest Texas Healthcare System, Inc.Amarillo, TX—$67$93—$54
5The George Washington University HospitalWashington, DC—$87$121—$52
6Wellington Regional Medical CenterWellington, FL—$80$90—$40
7Aiken Regional Medical CentersWashington, DC—$103$87—$31
8Palmdale Regional Medical CenterPalmdale, CA—$88$92—$53
9Temecula Valley HospitalTemecula, CA—$89$95—$38
10Southwest HealthcareTemecula, CA—$80$103—$47
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