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  4. /A4721
  5. /Percent of billed charges
HCPCS A4721

DIALYSATE SOL1000-1999ML

Reported by 16 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

$2

Average

$204

Median

$266

High

$595

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.
1Medical Ctiy ArgyleArgyle, TX$233$299$184—$47$710
2Medical City AllianceSAGINAW, TX$206$266$217—$45$1.3k
3Medical City MckinneyMcKinney, TX$310$384$243—$52$1.1k
4Medical City Las ColinasIrving, TX$298$372$237—$55$1.0k
5Medical City DentonArgyle, TX$233$299$184—$47$710
6Medical City Surgery City AllianceFT WORTH, TX$206$266$217—$45$1.3k
7Medical City ArlingtonRED OAK, TX$468$595$373—$97$1.4k
8Medical City Fort WorthFT WORTH, TX$400$465$284—$61$1.3k
9Medical City North HillsNorth Richland Hills, TX$221$281$175—$41$750
10UPMC Childrens Hospital of PittsburghPittsburgh, PA$17$20$9—$8$51
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