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  5. /Percent of billed charges
HCPCS D5226

MANDIBULAR PART DENTURE FLEX

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

$800

Average

$972

Median

$1.0k

High

$1.1k

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$280$1.1k$1.0k$1.4k$221
2Adventist Health Medical Center TehachapiTehachapi, CA$304$703$827$1.8k$236
3Sonora Community HospitalSonora, CA$152$1.2k$1.1k$2.1k$200
4Reedley Community HospitalReedley, CA$375$764$800$1.8k$156
5Adventist Health Clearlake Hospital IncClearlake, CA$77$1.2k$1.1k$2.6k$192
6Adventist Health Mendocino CoastBragg, CA$279$1.0k$1.0k$4.2k$205
7Lodi Memorial Hospital Association IncLodi, CA$152$904$876$2.0k$333
8Willits Hospital IncWillits, CA$403$1.1k$1.0k$1.4k$138

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