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  4. /A4268
  5. /Percent of billed charges
HCPCS A4268

PR FEMALE CONDOM

Reported by 5 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

$1

Average

$35

Median

$2

High

$164

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$5$5——$3$5
2Northwest Iowa Hospital CorporationSioux City, IA$1$1——$1$4
3UPMC KaneKane, PA$69$164$497—$44$2.8k
4Bexar County Hospital DistrictSan Antonio, TX$2$2$1—$1$8
5The University of Texas Medical BranchGalveston, TX$2$2$1—$0$5

Look up this code directly

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