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  5. /Percent of billed charges

LOCAL SUP1005314

SPHINCTEROTME ACROBT BIL W/GWRE 25MM 7F

Reported by 4 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

$406

Average

$414

Median

$416

High

$419

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$287$327$406$792$125
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$198$327$416$792$139
3Vanderbilt University Medical CenterNashville, TN$287$373$419$792$134
4Vanderbilt Bedford HospitalShelbyville, TN$198$327$415$792$138

Look up this code directly

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