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CDM 76104052

HC INCAL BX SKN SINGLE LES

Reported by 29 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

$329

Average

$740

Median

$804

High

$847

Hospitals reporting this code

#HospitalLocation
1Baylor Scott & White Medical Center - TempleTemple, TX$71$780$705$7.4k$415
2Baylor Scott & White Medical Center - BrenhamBrenham, TX$71$83$329$3.5k$549
3Baylor Scott & White Medical Center - TaylorTaylor, TX$71$83$329$7.4k$549
4Baylor Scott & White Medical Center - HillcrestWaco, TX$71$780$684$7.4k$425
5Baylor University Medical CenterDallas, TX$99$780$803$1.6k$362
6Baylor Scott & White All Saints Medical Center - Fort WorthFort Worth, TX$99$780$746$1.6k$405
7Baylor Scott & White Medical Center - Round RockRound Rock, TX$71$780$708$7.4k$407
8Baylor Scott & White McLane Children's Medical CenterTemple, TX$71$780$681$7.4k$435
9Baylor Scott & White Medical Center - Lake PointeRowlett, TX$99$780$806$1.6k$370
10Baylor Scott & White Medical Center - PlanoPlano, TX$99$780$842$1.6k$353
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