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LOCAL SUP138372

BLLN EVERCROSS 035 PTA 4MMX150MMX135CM

Reported by 4 hospitals in the network.

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.

National pricing summary

Based on 21–84 billing samples across every hospital reporting.

Low

$219

Average

$224

Median

$225

High

$228

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.
1Vanderbilt University Medical CenterNashville, TN$221$219$14419–64$194$536
2Vanderbilt Wilson County HospitalLebanon, TN$221$228$1291–10$194$536
3Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$221$225$1411–10$134$536
4Vanderbilt Bedford HospitalShelbyville, TN$221$224$140—$134$536

Look up this code directly

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