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  5. /Percent of billed charges
HCPCS A6215

DRESSING FOAM POLYMEM WIC SILVER L14 IN X W.4 IN 3 GM ROPE LATEX FREE

Reported by 21 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

$7

Average

$9

Median

$8

High

$26

Hospitals reporting this code

#HospitalLocation
1AHS Hillcrest Medical Center, LLCTulsa, OK$9$18$18$34$8
2Tyler Regional Hospital, LLCTyler, TX$18$18$26$48$10
3Henderson Hospital, LLCHenderson, TX$5$5$8$14$3
4Jacksonville Hospital, LLCJacksonville, TX$5$10$9$13$3
5Aurora Medical Center SummitSummit, WI$5$10$12$21$5
6Aurora St Lukes Medical Center of Aurora Health Care Metro IncMilwaukee, WI$5$10$12$20$5
7Aurora Medical Center GraftonGrafton, WI$5$7$7$9$1
8Aurora BayCare Medical CenterGreen Bay, WI$5$10$11$18$4
9Aurora West Allis Medical CenterWest Allis, WI$5$7$7$9$1
10Aurora Medical Center KenoshaKenosha, WI$5$8$9$13$2
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