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  5. /Percent of billed charges
HCPCS G0159

HH Pt Maintenance Program

Reported by 11 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

$234

Average

$738

Median

$822

High

$978

Hospitals reporting this code

#HospitalLocation
1Northwestern Medicine Central DuPage HospitalWinfield, IL$202$777$822$1.4k$355
2Northwestern Memorial HospitalChicago, IL$274$916$962$1.4k$425
3Northwestern Medicine Kishwaukee HospitalDeKalb, IL$258$951$978$1.4k$285
4Northwestern Medicine Valley West HospitalSandwich, IL$97$795$739$1.4k$417
5Northern Illinois Medical Center DBA Northwestern Medicine McHenry HospitalMcHenry, IL$272$550$697$1.4k$321
6Northwestern Medicine Delnor HospitalGeneva, IL$230$906$860$1.4k$322
7Northwestern Lake Forest HospitalLake Forest, IL$234$642$732$1.4k$409
8Palos Community HospitalPalos Heights, IL$197$988$930$1.4k$420
9Northwestern Medicine Marianjoy Rehabilitation HospitalWheaton, IL$593$847$934$1.4k$259
10Nebraska Medical CenterOmaha, NE$74$239$234$492$10
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