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HCPCS G9685

PR ACUTE NURSING FACILITY CARE

Reported by 10 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

$118

Average

$304

Median

$308

High

$418

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$170$418$418$453—
2Northwest Iowa Hospital CorporationSioux City, IA$118$118$118$453—
3IOM Health System LPFort Wayne, IN$128$250$280$519$105
4Bluffton Health System LLCBluffton, IN$125$330$319$467$108
5Dukes Health System LLCPeru, IN$102$288$309$830$94
6Warsaw Health System LLCWarsaw, IN$109$306$306$519$105
7Lutheran Musculoskeletal Center LLCFort Wayne, IN$124$252$273$519$99
8St. Joseph Health System, LLCIN 46802, IN$125$311$321$519$119
9Dupont Hospital LLCIN 46825, IN$126$275$291$467$108
10La Porte Hospital Company LLCLa Porte, IN$140$431$403$485$93

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