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  5. /Percent of billed charges
HCPCS 99155

HB CONSCIOUS SEDATION, OTHER PROV, 1ST 15 MIN, UNDER AGE 5

Reported by 20 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

$37

Average

$445

Median

$357

High

$1.3k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$10$36$37$52$11
2University of Iowa Health Care Medical CenterIowa City, IA$14$38$37$52$10
3Northwest Texas Healthcare System, Inc.Amarillo, TX—$956$1.3k—$745
4The George Washington University HospitalWashington, DC—$114$141—$56
5Temecula Valley HospitalTemecula, CA—$57$62—$28
6Southwest HealthcareTemecula, CA—$59$77—$42
7Northwest Texas Healthcare SystemAmarillo, TX—$956$1.3k—$745
8Northwest Texas Healthcare System, Inc.Amarillo, TX—$956$1.3k—$745
9Castle Medical CenterKailua, HI$61$615$571$1.3k$160
10Ukiah Adventist HospitalUkiah, CA$80$628$572$710$120
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