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ExamplesConnectHospitalsCodesRequest dataGet access
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  4. /S9473
  5. /Percent of billed charges
HCPCS S9473

NI-PULM REHAB PH 3

Reported by 15 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

$167

Median

$27

High

$459

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.
1Naples HMA LLCNaples, FL$21$27$12—$14$80
2Naples HMA LLCNaples, FL$21$27$12—$14$80
3Naples HMA LLCNaples, FL$21$27$12—$14$80
4Cocke County HMA, LLCNewport, TN$596$455$267—$85$764
5Campbell County HMA, LLCLaFollette, TN$191$342$240—$83$60.5k
6Jefferson County HMA LLCJefferson City, TN$603$459$266—$95$764
7Metro Knoxville HMA LLCKnoxville, TN$413$350$160—$135$611
8Metro Knoxville HMA LLCPowell, TN$413$434$229—$95$764
9Affinity Hospital LLCBirmingham, AL$4$4$1—$0$5
10Foley Hospital Company LLCFoley, AL$6$5$1—$0$6
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