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HCPCS PRMOD

Dislocation TMJ

Reported by 8 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

$363

Average

$1.0k

Median

$916

High

$1.9k

Hospitals reporting this code

#HospitalLocation
1Castle Medical CenterKailua, HI$167$501$460$1.2k$160
2Glendale Adventist Medical CenterGlendale, CA$290$1.4k$1.5k$3.5k$405
3Reedley Community HospitalReedley, CA$255$1.5k$1.6k$10.3k$324
4Adventist Health Clearlake Hospital IncClearlake, CA$186$1.4k$1.2k$1.8k$486
5San Joaquin Community HospitalBakersfield, CA$210$521$494$8.7k$105
6Adventist Health Mendocino CoastBragg, CA$192$374$363$1.6k$80
7Lodi Memorial Hospital Association IncLodi, CA$210$731$650$4.0k$238
8Hanford Community HospitalHanford, CA$239$2.0k$1.9k$7.2k$473

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