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  5. /Percent of billed charges
HCPCS D5225

MAXILLARY PART DENTURE FLEX

Reported by 7 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

$629

Average

$747

Median

$788

High

$868

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$280$872$788$1.1k$174
2Adventist Health Medical Center TehachapiTehachapi, CA$304$552$650$1.4k$186
3Sonora Community HospitalSonora, CA$152$938$868$1.6k$157
4Reedley Community HospitalReedley, CA$375$600$629$1.4k$123
5Adventist Health Mendocino CoastBragg, CA$279$808$788$3.3k$161
6Lodi Memorial Hospital Association IncLodi, CA$152$710$689$1.6k$262
7Willits Hospital IncWillits, CA$403$856$820$1.1k$109

Look up this code directly

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