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  5. /Percent of billed charges
HCPCS 24101

Incision and exploration of elbow joint

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 8–80 billing samples across every hospital reporting.

Low

$449

Average

$1.5k

Median

$1.5k

High

$2.1k

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.
1Sonora Community HospitalSonora, CA$1.5k$1.6k$328–80$45$1.6k
2Ukiah Adventist HospitalUkiah, CA$1.4k$1.4k$185—$45$1.6k
3Glendale Adventist Medical CenterGlendale, CA$1.5k$1.4k$213—$80$4.2k
4Reedley Community HospitalReedley, CA$1.4k$1.4k——$14$1.4k
5Adventist Health Mendocino CoastBragg, CA$1.8k$1.8k——$401$1.8k
6Hanford Community HospitalHanford, CA$449$449——$401$4.2k
7White Memorial Medical CenterAngeles, CA$1.6k$1.6k——$50$1.6k
8Willits Hospital IncWillits, CA$1.5k$1.5k——$20$1.5k
9Winneshiek Medical CenterDecorah, IA$2.1k$2.1k——$20$2.1k

Look up this code directly

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