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ExamplesConnectHospitalsCodesRequest dataGet access
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  4. /G8995
  5. /Percent of billed charges
HCPCS G8995

PT SUB PT-OT DC - REDOC 231

Reported by 16 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

$0

Average

$157

Median

$0

High

$481

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1IOM Health System LPFort Wayne, IN$0$0——$0$186
2Bluffton Health System LLCBluffton, IN$0$0——$0$186
3Dukes Health System LLCPeru, IN$0$0——$0$186
4Warsaw Health System LLCWarsaw, IN$0$0——$0$186
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$0$0——$0$186
6St. Joseph Health System, LLCWayne, IN$0$0——$0$186
7Dupont Hospital LLCWayne, IN$0$0——$0$186
8Catholic Health Initiatives ColoradoColorado Springs, CO$295$376$186—$72$606
9Catholic Health Initiatives ColoradoColorado Springs, CO$586$481$168—$72$606
10St Francis HospitalColorado Springs, CO$276$318$163—$72$586
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