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  4. /M1085
  5. /Percent of billed charges
HCPCS M1085

HC ROM RAD THERAPY CNS, TC

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

$3.9k

Average

$8.3k

Median

$5.4k

High

$18.5k

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.
1UPMC Magee-Womens HospitalPittsburgh, PA$4.6k$5.0k$1.9k—$1.6k$9.9k
2UPMC Passavant - McCandlessPittsburgh, PA$4.8k$5.8k$2.2k—$2.4k$9.0k
3UPMC MemorialYork, PA$4.0k$3.9k$1.4k—$1.2k$26.1k
4Memorial Hospital of Laramie CountyCheyenne, WY$18.2k$18.5k$605—$18.2k$19.8k

Look up this code directly

Ask Claude or any MCP client for HCPCS M1085 pricing at a specific hospital — see how to connect.

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