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CDM 32000047

HC XR MANDIBLE

Reported by 33 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$103

Average

$371

Median

$386

High

$726

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$43$86$113$394$53
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$53$89$129$394$55
3Vanderbilt University Medical CenterNashville, TN$53$85$103$394$46
4Vanderbilt Bedford HospitalShelbyville, TN$53$89$129$394$55
5Baylor Scott & White Medical Center - TempleTemple, TX$116$288$385$1.2k$239
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$163$788$726$1.2k$214
7Baylor Scott & White Medical Center - TaylorTaylor, TX$263$788$726$1.1k$214
8Baylor Scott & White Medical Center - HillcrestWaco, TX$116$288$393$987$248
9Baylor University Medical CenterDallas, TX$116$252$366$983$234
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$116$252$353$983$238
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