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  5. /Percent of billed charges

LOCAL SUP49769

PLATE T 3.5MM LCP 3H HD 97MM R LF

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

Based on 390–471 billing samples across every hospital reporting.

Low

$571

Average

$581

Median

$573

High

$606

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$582$606$180313–349$413$1.1k
2Vanderbilt Bedford HospitalShelbyville, TN$454$571$17847–65$275$1.1k
3Vanderbilt Wilson County HospitalLebanon, TN$454$575$17128–37$413$1.1k
4Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$454$571$1782–20$275$1.1k

Look up this code directly

Ask Claude or any MCP client for LOCAL SUP49769 pricing at a specific hospital — see how to connect.

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