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  5. /Percent of billed charges
HCPCS S9455

HC DIABETES MGMT PROG, INDIV

Reported by 25 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

$3

Average

$368

Median

$225

High

$1.2k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$19$864$908$1.6k$349
2Northwest Iowa Hospital CorporationSioux City, IA$7$632$567$849$204
3St Luke'sJones Regional Medical CenterAnamosa, IA$589$1.1k$1.2k$2.2k$479
4St Luke's Methodist HospitalCedar Rapids, IA$431$701$731$1.0k$196
5Trinity Medical CenterRock Island, IL$66$710$680$839$136
6Trinity Medical CenterBettendorf, IA$386$710$660$839$146
7Unity HealthcareMuscatine, IA$66$569$573$871$187
8Trinity Regional Medical CenterFort Dodge, IA$540$929$999$1.6k$319
9Meriter Hospital, IncMadison, WI$24$82$99$218$48
10Central Iowa Hospital CorporationDes Moines, IA$80$192$238$401$103
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