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  5. /Percent of billed charges
HCPCS Q4113

GRAFTJACKET XPR 1ML INJ

Reported by 105 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

$358

Average

$3.1k

Median

$2.1k

High

$21.2k

Hospitals reporting this code

#HospitalLocation
1Medical City ArlingtonRED OAK, TX$1.2k$8.6k$8.1k$17.2k$5.1k
2Medical City WeatherfordWeatherford, TX$2.1k$7.7k$11.6k$29.9k$9.1k
3Hca Florida Brandon HospitalTAMPA, FL$466$2.2k$3.4k$8.1k$2.7k
4Hca Florida South Tampa HospitalTampa, FL$547$1.7k$2.9k$7.4k$2.3k
5Hca Florida Bayonet Point HospitalHUDSON, FL$558$1.6k$3.5k$9.0k$2.9k
6Hca Florida Largo West HospitalLARGO, FL$391$2.8k$2.9k$5.2k$1.6k
7Hca Florida Capital HospitalTALLAHASSEE, FL$394$1.8k$2.4k$15k$1.8k
8Hca Florida Blake HospitalBRADENTON, FL$604$1.7k$3.2k$8.1k$2.5k
9Hca Florida Oak Hill HospitalBROOKSVILLE, FL$288$1.4k$2.9k$7.8k$2.6k
10Hca Houston MainlandTexas City, TX$253$1.5k$1.9k$4.8k$1.3k
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