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  5. /Percent of billed charges
HCPCS 22315

HB CLOSED TRTMT VERTEBRAL FRACT OR DISLOC W CAST OR BRACE W MANIP

Reported by 9 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 1–10 billing samples across every hospital reporting.

Low

$676

Average

$2.8k

Median

$2.1k

High

$4.5k

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 Miami Hosp & ClinicsMiami, FL$676$676—1–10$3.1k$17.6k
2University of Iowa Health Care Medical Center DowntownIowa City, IA$2.2k$2.1k$593—$770$6.2k
3University of Iowa Health Care Medical CenterIowa City, IA$2.2k$2.1k$582—$770$6.2k
4Northwest Texas Healthcare System, Inc.Amarillo, TX$3.5k$4.5k$2.4k———
5Northwest Texas Healthcare SystemAmarillo, TX$3.5k$4.5k$2.4k———
6Northwest Texas Healthcare System, Inc.Amarillo, TX$3.5k$4.5k$2.4k———
7Tri-City Medical CenterOceanside, CA$4.2k$3.9k$918—$402$6.8k
8Upstate University HospitalSyracuse, NY$1.6k$1.9k$867—$708$11.3k
9Children's National HospitalWashington, DC$1.5k$1.5k$136—$697$1.6k

Look up this code directly

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