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  5. /Percent of billed charges
HCPCS 87506

INF AGENT PCR 6-11 TARGETS

Reported by 28 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

$93

Average

$387

Median

$415

High

$1.1k

Hospitals reporting this code

#HospitalLocation
1The George Washington University HospitalWashington, DC—$1.1k$1.1k—$322
2Castle Medical CenterKailua, HI$153$491$448$1.6k$137
3Portland Adventist Medical CenterPortland, OR$210$722$655$2.6k$198
4Ukiah Adventist HospitalUkiah, CA$80$168$153$3.4k$33
5Adventist Health Medical Center TehachapiTehachapi, CA$40$90$93$1.2k$44
6Sonora Community HospitalSonora, CA$105$179$164$3.1k$33
7Glendale Adventist Medical CenterGlendale, CA$77$116$123$1.8k$33
8Twin Cities Community Hospital IncTempleton, CA$98$833$819$3.2k$616
9Mid Columbia Medical CenterDalles, OR$263$941$824$3.3k$196
10Simi Valley Hospital And Health Care ServicesValley, CA$63$435$435$1.7k$217
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