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CDM 27801274

HC Shell C1765, Adhesion Barrier

Reported by 30 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

$745

Average

$861

Median

$867

High

$946

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$30$836$867$3.4k$705
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$24$683$745$3.4k$696
3Baylor Scott & White Medical Center - TaylorTaylor, TX$38$746$776$3.0k$683
4Baylor Scott & White Medical Center - HillcrestWaco, TX$24$777$815$3.0k$668
5Baylor University Medical CenterDallas, TX$34$857$869$3.0k$702
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$32$835$841$3.0k$701
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$40$836$872$3.4k$710
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$30$820$848$3.0k$688
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$22$852$862$3.0k$706
10Baylor Scott & White Medical Center - PlanoPlano, TX$24$873$877$3.0k$702
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