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  5. /Percent of billed charges

CDM 30100540

HC UR 24HR KIDNEY STONE PNL ASSAY PH BODY FLUID NOS - (LTH)

Reported by 35 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

$5

Average

$53

Median

$19

High

$115

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$3$5$5$13$2
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$3$5$6$11$2
3Vanderbilt University Medical CenterNashville, TN$3$5$5$13$2
4Vanderbilt Bedford HospitalShelbyville, TN$3$5$6$11$2
5Memorial Hospital of Laramie CountyCheyenne, WY$18$49$49$53$3
6Baylor Scott & White Medical Center - TempleTemple, TX$4$101$104$152$24
7Baylor Scott & White Medical Center - BrenhamBrenham, TX$7$93$76$152$44
8Baylor Scott & White Medical Center - TaylorTaylor, TX$7$88$78$128$35
9Baylor Scott & White Medical Center - HillcrestWaco, TX$4$98$97$143$21
10Baylor University Medical CenterDallas, TX$4$18$18$7.4k$3
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