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  5. /Percent of billed charges
HCPCS M0240

CASIRI AND IMDEV REPEAT

Reported by 21 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

$236

Average

$740

Median

$930

High

$1.5k

Hospitals reporting this code

#HospitalLocation
1HCA Houston Healthcare North CypressHOUSTON, TX$49$224$246$700$151
2Methodist Hospital AtascosaJourdanton, TX$37$223$236$632$138
3Methodist Texsan Hospital RehabSAN ANTONIO, TX$37$238$248$632$147
4Methodist Hospital Stone OakSan Antonio, TX$37$260$265$632$158
5Methodist Specialty And TransplantSAN ANTONIO, TX$37$273$288$744$162
6Stone Oak RehabSAN ANTONIO, TX$37$260$265$632$158
7Methodist Texsan HospitalSAN ANTONIO, TX$37$238$248$632$147
8Metropolitan MethodistSAN ANTONIO, TX$37$269$274$632$155
9Methodist HospitalSAN ANTONIO, TX$37$272$288$744$168
10La Porte Hospital Company LLCLa Porte, IN$234$699$664$810$156
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