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  5. /Percent of billed charges
HCPCS L4386

PR NON-PNEUM WALK BOOT PREFAB

Reported by 308 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

Based on 129–1,290 billing samples across every hospital reporting.

Low

$23

Average

$254

Median

$122

High

$1.7k

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.
1Aurora Medical Center KenoshaKenosha, WI$126$157$11124–240$36$332
2Aurora Medical Center Mount PleasantMount Pleasant, WI$254$264$4312–120$190$332
3Aurora Medical Center ManitowocTwo Rivers, WI$117$150$11810–100$26$332
4Aurora Lakeland Medical CenterElkhorn, WI$45$97$998–80$29$332
5Novant Health Mint Hill Medical Center, LLCCharlotte, NC$405$505$3058–80$196$392
6Brunswick Community Hospital, LLCBolivia, NC$48$60$438–80——
7Aurora BayCare Medical CenterGreen Bay, WI$254$264$437–70$190$332
8Aurora Sinai Medical Center of Aurora Health Care Metro IncMilwaukee, WI$254$264$437–70$190$332
9Aurora Medical Center SummitSummit, WI$254$264$435–50$190$332
10Novant Health Matthews Medical Center LLCMatthews, NC$257$243$1325–50$196$392
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