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  4. /SUP49921
  5. /Percent of billed charges

LOCAL SUP49921

PLATE 3.5MM DCP 2H 25MM

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

$493

Average

$501

Median

$494

High

$522

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$502$522$155313–349$356$950
2Vanderbilt Bedford HospitalShelbyville, TN$392$493$15347–65$237$950
3Vanderbilt Wilson County HospitalLebanon, TN$392$496$14728–37$356$950
4Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$392$493$1532–20$237$950

Look up this code directly

Ask Claude or any MCP client for LOCAL SUP49921 pricing at a specific hospital — see how to connect.

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