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  5. /Percent of billed charges

LOCAL SUP169154

HEAD FEM TANDEM UPLR STRL 53MM

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

$514

Average

$522

Median

$515

High

$545

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$372$409$517$991$154
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$248$409$514$991$160
3Vanderbilt University Medical CenterNashville, TN$372$524$545$991$162
4Vanderbilt Bedford HospitalShelbyville, TN$248$409$514$991$160

Look up this code directly

Ask Claude or any MCP client for LOCAL SUP169154 pricing at a specific hospital — see how to connect.

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