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ExamplesConnectHospitalsCodesRequest dataGet access
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  3. /HCPCS
  4. /Q4172
  5. /Percent of billed charges
HCPCS Q4172

PURAPLYAM 1SQCMJW

Reported by 18 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

$871

Median

$109

High

$13.2k

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.
1Hca Florida Citrus HospitalInverness, FL$0$0$0—$0$1
2Hca Florida Englewood HospitalENGLEWOOD, FL$27$50$41—$9$136
3Hca Florida Sarasota Doctors HospitalVENICE, FL$37$55$43—$10$136
4Hca Florida Bayonet Point HospitalHUDSON, FL$92$201$166—$32$516
5Hca Florida Largo HospitalLARGO, FL$127$171$134—$25$425
6Hca Florida Fawcett HospitalFORT MYERS, FL$30$52$42—$7$136
7Catholic Health Initiatives ColoradoColorado Springs, CO$96$109$43—$57$211
8Catholic Health Initiatives ColoradoColorado Springs, CO$113$116$44—$61$211
9St Francis HospitalColorado Springs, CO$96$102$35—$57$204
10Longmont United HospitalLongmont, CO$90$108$49—$57$216
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