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  5. /Percent of billed charges
HCPCS D0170

RE-EVAL,EST PT,PROBLEM FOCUS

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

$54

Average

$84

Median

$85

High

$108

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$52$108$98$505$22
2Adventist Health Medical Center TehachapiTehachapi, CA$58$69$81$685$23
3Sonora Community HospitalSonora, CA$69$116$108$274$20
4Reedley Community HospitalReedley, CA$57$74$78$676$15
5Adventist Health Mendocino CoastBragg, CA$52$100$98$411$20
6Lodi Memorial Hospital Association IncLodi, CA$36$88$85$304$33
7Willits Hospital IncWillits, CA$71$106$102$407$14
8Nebraska Medical CenterOmaha, NE$19$55$54$79$2
9Bellevue Medical Center LlcBellevue, NE$19$55$54$79$2

Look up this code directly

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