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ExamplesConnectHospitalsCodesRequest dataGet access
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  4. /Q5146
  5. /Percent of billed charges
HCPCS Q5146

INJ HERCESSI 10 MG

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

$36

Average

$2.7k

Median

$331

High

$10.1k

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.
1Northside Hospital, Inc.Lawrenceville, GA$299$337$81—$40$461
2Northside Hospital, Inc.Canton, GA$299$333$79—$40$461
3Northside Hospital, Inc.Atlanta, GA$299$330$78—$40$461
4Northside Hospital, Inc.Duluth, GA$299$337$81—$40$461
5Northside Hospital, Inc.Cumming, GA$299$330$78—$40$461
6University of Colorado Hospital AuthorityAurora, CO$4.0k$5.2k$3.2k—$39$13.3k
7Poudre Valley Health Care, IncFort Collins, CO$5.9k$8.2k$4.8k—$40$16.8k
8Medical Center of the RockiesLoveland, CO$5.9k$8.2k$4.8k—$40$16.8k
9UchmhsColorado Springs, CO$4.3k$5.5k$3.1k—$40$12.4k
10UchmhsColorado Springs, CO$4.3k$5.5k$3.1k—$40$12.4k
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