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  5. /Percent of billed charges
HCPCS S4024

HYDROXYETHYLCELLULOSE-GLYCERIN IN WATER INTRAUTERINE INFUSION FOAM SYR

Reported by 12 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

$432

Average

$468

Median

$470

High

$508

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.
1Carolinas Medical CenterCharlotte, NC$443$470$191—$191$788
2Carolinas Medical CenterCharlotte, NC$465$488$190—$191$788
3Carolinas Medical CenterCharlotte, NC$438$471$194—$191$805
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$438$459$220—$107$831
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$438$454$226—$88$849
6Atrium Health Hospitals IncShelby, NC$467$473$221—$123$831
7The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$525$508$250—$105$840
8The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$425$444$224—$88$805
9The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$408$454$227—$114$831
10Atrium Health Hospitals IncWadesboro, NC$469$495$238—$131$831
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