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  4. /21931
  5. /Percent of billed charges
HCPCS 21931

HB EXC TUMOR, SOFT TISSUE BACK/FLANK, SUBCUT; 3CM OR GR

Reported by 22 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

Based on 27–270 billing samples across every hospital reporting.

Low

$405

Average

$2.4k

Median

$1.4k

High

$11.4k

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.
1Lodi Memorial Hospital Association IncLodi, CA$1.1k$1.1k$5768–80$152$10.8k
2Northwest Medical Foundation Of TillamookTillamook, OR$1.7k$1.7k$1567–70$48$1.8k
3Sonora Community HospitalSonora, CA$2.6k$3.4k$2.3k3–30$52$16.3k
4Ukiah Adventist HospitalUkiah, CA$1.4k$1.5k$4782–20$27$19.5k
5Reedley Community HospitalReedley, CA$882$961$2002–20$14$23.8k
6White Memorial Medical CenterAngeles, CA$1.3k$2.0k$1.3k2–20$57$9.6k
7University Of Miami Hosp & ClinicsMiami, FL$11.4k$11.4k$2.1k2–20$1.7k$10.0k
8Winneshiek Medical CenterDecorah, IA$349$484$4401–10$20$5.6k
9University of Iowa Health Care Medical Center DowntownIowa City, IA$6.0k$5.8k$1.6k—$1.5k$7.9k
10University of Iowa Health Care Medical CenterIowa City, IA$6.0k$5.8k$1.6k—$1.5k$7.9k
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