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  5. /Percent of billed charges
HCPCS A4355

IRRIGATION Y SET

Reported by 3 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

$11

Average

$61

Median

$20

High

$151

Hospitals reporting this code

#HospitalLocation
1UPMC KaneKane, PA$21$60$151$2.5k$452
2Memorial Hospital of Laramie CountyCheyenne, WY$5$10$11$11$0
3North Carolina Baptist HospitalBermuda Run, NC$8$15$20$41$10

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