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  4. /A4266
  5. /Percent of billed charges
HCPCS A4266

PR DIAPHRAGM

Reported by 15 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

$17

Average

$131

Median

$88

High

$260

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.
1The Finley HospitalDubuque, IA$60$60——$17$66
2Northwest Iowa Hospital CorporationSioux City, IA$17$17——$17$66
3Meriter Hospital, IncMadison, WI$70$86$47—$50$205
4IOM Health System LPFort Wayne, IN$78$88$33—$40$163
5Ukiah Adventist HospitalUkiah, CA$213$206$36—$30$284
6Adventist Health Medical Center TehachapiTehachapi, CA$142$170$40—$33$284
7Sonora Community HospitalSonora, CA$245$234$41—$36$568
8Reedley Community HospitalReedley, CA$199$176$55—$36$568
9Adventist Health Mendocino CoastBragg, CA$284$260$53—$21$412
10Lodi Memorial Hospital Association IncLodi, CA$213$205$39—$36$341
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