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  5. /Percent of billed charges
HCPCS V5264

PR AUD EAR MOLD/INSERT LVL 3

Reported by 20 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

$16

Average

$83

Median

$84

High

$177

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$9$64$58$190$42
2Northwest Iowa Hospital CorporationSioux City, IA$3$18$16$65$12
3IOM Health System LPFort Wayne, IN$12$24$27$50$10
4Bluffton Health System LLCBluffton, IN$2$27$28$90$21
5Dukes Health System LLCPeru, IN$2$23$23$169$16
6La Porte Hospital Company LLCLa Porte, IN$3$59$60$144$41
7Northwest Medical Foundation Of TillamookTillamook, OR$40$91$80$101$21
8Glendale Adventist Medical CenterGlendale, CA$36$169$177$459$52
9White Memorial Medical CenterAngeles, CA$36$84$92$599$32
10UPMC HamotErie, PA$30$84$98$512$38
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