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  5. /Percent of billed charges
HCPCS 97537

HB COMMUNITY/WORK REINTEGRATION TRNG(ILS) - 15MIN - PT

Reported by 45 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

$45

Average

$132

Median

$114

High

$276

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$23$165$160$225$46
2University of Iowa Health Care Medical CenterIowa City, IA$23$165$160$216$44
3Spring Valley Hospital Medical CenterLas Vegas, NV—$110$114—$62
4Valley Health Speciality HospitalLas Vegas, NV—$110$114—$62
5Summerlin Hospital Medical CenterLas Vegas, NV—$110$114—$62
6West Henderson HospitalNV 89052, NV—$110$114—$62
7Henderson HospitalHenderson, NV—$110$114—$62
8Centennial HillsLas Vegas, NV—$110$114—$62
9McAllen Hospitals, LPMcAllen, TX—$116$133—$103
10McAllen Hospitals, LPMcAllen, TX—$116$133—$103
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