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  5. /Percent of billed charges
HCPCS 16036

HB ESCHAROTOMY, EACH ADDITIONAL INCISION

Reported by 14 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

$68

Average

$884

Median

$276

High

$4.7k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1University of Iowa Health Care Medical Center DowntownIowa City, IA$4.8k$4.6k$1.4k—$81$6.3k
2University of Iowa Health Care Medical CenterIowa City, IA$4.8k$4.7k$1.3k—$81$6.3k
3Ukiah Adventist HospitalUkiah, CA$218$213$28—$20$245
4Sonora Community HospitalSonora, CA$234$219$34—$20$4.6k
5Adventist Health DelanoDelano, CA$339$328$68—$71$500
6Reedley Community HospitalReedley, CA$218$218——$2$218
7Adventist Health Mendocino CoastBragg, CA$272$272——$40$272
8Hanford Community HospitalHanford, CA$68$68——$25$135
9Willits Hospital IncWillits, CA$231$231——$40$231
10Children's National HospitalWashington, DC$300$311$34—$65$360
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