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  5. /Percent of billed charges

CDM 36000180

HC ILIOTIBAL BAND REPAIR/RECONSTRUCTION W MESH/GRAFT (EG: HERNIATION)

Reported by 29 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

$4.3k

Average

$5.9k

Median

$6.0k

High

$6.8k

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$235$5.9k$5.9k$8.9k$1.6k
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$339$5.0k$4.3k$8.9k$2.7k
3Baylor Scott & White Medical Center - TaylorTaylor, TX$339$5.4k$4.6k$7.9k$2.2k
4Baylor Scott & White Medical Center - HillcrestWaco, TX$235$5.4k$5.5k$7.4k$1.4k
5Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$235$6.2k$6.0k$8.3k$1.2k
6Baylor Scott & White Medical Center - Round RockRound Rock, TX$235$6.4k$6.2k$8.9k$1.5k
7Baylor Scott & White McLane Children's Medical CenterTemple, TX$235$5.7k$5.8k$7.4k$1.2k
8Baylor Scott & White Medical Center - Lake PointeRowlett, TX$235$5.9k$6.0k$8.3k$1.2k
9Baylor Scott & White Medical Center - PlanoPlano, TX$235$5.9k$6.0k$8.3k$1.2k
10Baylor Scott & White Medical Center - GrapevineGrapevine, TX$236$6.2k$6.0k$8.3k$1.2k
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Look up this code directly

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