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  5. /Percent of billed charges
HCPCS A9603

PAFOLACIANINE 3.2 MG INJ

Reported by 25 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

$223

Average

$10.2k

Median

$9.6k

High

$21.4k

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.
1Hca Healthone Presbyterian St LukesDenver, CO$7.1k$7.2k$3.3k—$2.2k$12.9k
2Tyler Regional Hospital, LLCTyler, TX$14.1k$20.0k$7.6k—$13.2k$37.3k
3Rehabilitation Hospital, LLCTyler, TX$14.2k$21.4k$9.1k—$14.2k$38.1k
4Sanford Fargo Medical CenterFargo, ND$6.0k$5.8k$1.9k—$1$7.7k
5UPMC Magee-Womens HospitalPittsburgh, PA$211$223$87—$76$388
6UPMC PresbyterianPittsburgh, PA$422$374$112—$54$479
7UPMC Passavant - McCandlessPittsburgh, PA$211$251$96—$106$396
8Northside Hospital, Inc.Lawrenceville, GA$15.5k$16.7k$4.2k—$340$22.2k
9Northside Hospital, Inc.Canton, GA$15.3k$16.3k$4.0k—$340$22.2k
10Northside Hospital, Inc.Atlanta, GA$15.1k$16.2k$4.0k—$340$22.2k
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