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  4. /A4290
  5. /Percent of billed charges
HCPCS A4290

PR SACRAL NERVE STIM TEST LEAD

Reported by 53 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

$49

Average

$817

Median

$855

High

$2.0k

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$173$173——$22$210
2Northwest Iowa Hospital CorporationSioux City, IA$49$49——$22$192
3Saint Marys HospitalWaterbury, CT$924$862$183—$420$1.2k
4The Mercy Hospital IncSpringfield, MA$746$694$90—$392$800
5Saint Alphonsus Regional Medical Center - BoiseBoise, ID$798$819$181—$337$1.1k
6Saint Francis Hospital and Medical CenterHartford, CT$544$538$62—$397$680
7Saint Alphonsus Medical Center - NampaNampa, ID$798$808$180—$292$1.0k
8Saint Alphonsus Medical Center - OntarioOntario, OR$337$456$258—$191$1.1k
9Johnson Memorial HospitalStafford Springs, CT$800$761$65—$520$800
10Saint Alphonsus Medical Center - Baker CityBaker City, OR$495$665$247—$191$1.1k
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