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  5. /Percent of billed charges
HCPCS S9472

Cardiac Rehab Charges - NI-CARD REHAB PH3 MO

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

$2

Average

$86

Median

$27

High

$520

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.
1Bluffton Health System LLCBluffton, IN$29$29$9—$11$41
2Warsaw Health System LLCWarsaw, IN$462$436$158—$149$710
3St. Joseph Health System, LLCWayne, IN$21$21$8—$7$36
4Natchez Hospital Company LLCNatchez, MS$5$10$8—$1$60
5Durant HMA LLCDurant, OK$24$20$8—$4$29
6Naples HMA LLCNaples, FL$21$27$12—$14$80
7Naples HMA LLCNaples, FL$21$27$12—$14$80
8Vicksburg Healthcare LLCVicksburg, MS$26$32$19—$12$85
9Naples HMA LLCNaples, FL$21$27$12—$14$80
10Cocke County HMA, LLCNewport, TN$132$101$59—$19$169
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