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  5. /Percent of billed charges
HCPCS D1354

INT CARIES MED APP PER TOOTH

Reported by 8 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

$41

Average

$66

Median

$51

High

$189

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$27$57$51$505$11
2Adventist Health Medical Center TehachapiTehachapi, CA$30$36$42$685$12
3Sonora Community HospitalSonora, CA$36$61$57$274$10
4Reedley Community HospitalReedley, CA$30$39$41$676$8
5Adventist Health Mendocino CoastBragg, CA$27$53$51$279$11
6Lodi Memorial Hospital Association IncLodi, CA$19$46$45$304$17
7Willits Hospital IncWillits, CA$37$56$54$407$7
8The Presbyterian HospitalCharlotte, NC—$189$189——

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