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  5. /Percent of billed charges

CDM 76100172

HC PERQ DEV BREAST 1ST MR GUIDE

Reported by 34 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

$349

Average

$567

Median

$395

High

$1.8k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$342$1.4k$1.7k$3.3k$546
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$489$1.4k$1.8k$3.3k$589
3Vanderbilt University Medical CenterNashville, TN$340$1.9k$1.8k$3.3k$535
4Vanderbilt Bedford HospitalShelbyville, TN$489$1.4k$1.8k$3.3k$583
5Baylor Scott & White Medical Center - TempleTemple, TX$71$463$456$718$142
6Baylor Scott & White Medical Center - BrenhamBrenham, TX$71$439$350$718$209
7Baylor Scott & White Medical Center - TaylorTaylor, TX$71$409$349$595$164
8Baylor Scott & White Medical Center - HillcrestWaco, TX$71$439$421$598$128
9Baylor University Medical CenterDallas, TX$110$375$364$7.4k$106
10Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$103$375$352$504$121
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