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  4. /J7295
  5. /Percent of billed charges
HCPCS J7295

PR ETH ESTR AND ETON MONTHLY

Reported by 24 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

$7

Average

$324

Median

$356

High

$544

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Finley HospitalDubuque, IA$152$152——$126$152
2Northwest Iowa Hospital CorporationSioux City, IA$43$43——$43$138
3NewYork-Presbyterian Hudson Valley HospitalManor, NY$174$265$128—$105$452
4NewYork-Presbyterian Columbia University Irving Medical Center|NewYork-Presbyterian Weill Cornell Medical Center|NewYork-Presbyterian Brooklyn Methodist HospitalYork, NY$452$419$95—$104$500
5NewYork-Presbyterian QueensFlushing, NY$458$396$114—$105$500
6North Carolina Baptist HospitalWinston Salem, NC$294$390$199—$166$797
7Carolinas Medical CenterCharlotte, NC$334$356$163—$104$680
8North Carolina Baptist HospitalBermuda Run, NC$448$544$304—$166$1.3k
9Carolinas Medical CenterCharlotte, NC$356$369$164—$104$680
10Carolinas Medical CenterCharlotte, NC$334$356$165—$104$695
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