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  5. /Percent of billed charges
HCPCS D6104

HB BONE GRAFT TIME OF IMPLANT

Reported by 4 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

$172

Average

$297

Median

$298

High

$422

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$45$171$172$238$52
2University of Iowa Health Care Medical CenterIowa City, IA$65$174$173$238$50
3Nebraska Medical CenterOmaha, NE$79$431$422$888$17
4Bellevue Medical Center LlcBellevue, NE$79$431$422$888$17

Look up this code directly

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