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  5. /Percent of billed charges
HCPCS D9420

HOSPITAL/ASC CALL

Reported by 2 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

$14.5k

Average

$15.9k

Median

$15.9k

High

$17.3k

Hospitals reporting this code

#HospitalLocation
1Triad of Alabama LLCAL 36305, AL$431$15.5k$14.5k$18.6k$4.1k
2Kirksville Missouri Hospital Co LLCPO Box C8502 Kirksville, MO$431$17.5k$17.3k$25.9k$6.0k

Look up this code directly

Ask Claude or any MCP client for HCPCS D9420 pricing at a specific hospital — see how to connect.

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