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  5. /Percent of billed charges
HCPCS 86481

HB T-SPOT TB

Reported by 31 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

$31

Average

$416

Median

$465

High

$700

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$77$209$211$342$57
2University of Iowa Health Care Medical CenterIowa City, IA$77$215$213$342$56
3The George Washington University HospitalWashington, DC—$409$408—$124
4Manatee Memorial HospitalBradenton, FL—$29$39—$22
5Lakewood RanchLakewood Ranch, FL—$29$31—$12
6Castle Medical CenterKailua, HI$40$150$162$469$64
7Northwest Medical Foundation Of TillamookTillamook, OR$55$109$92$117$25
8Ukiah Adventist HospitalUkiah, CA$100$708$652$1.1k$150
9Adventist Health Medical Center TehachapiTehachapi, CA$68$153$158$366$75
10Sonora Community HospitalSonora, CA$22$745$647$951$247
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