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LOCAL SUP54874

BALN PYLORIC DILATOR 18MM 54FR

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 19–73 billing samples across every hospital reporting.

Low

$160

Average

$164

Median

$164

High

$166

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$161$160$10517–53$142$391
2Vanderbilt Wilson County HospitalLebanon, TN$161$166$942–20$142$391
3Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$161$164$103—$98$391
4Vanderbilt Bedford HospitalShelbyville, TN$161$164$102—$98$391

Look up this code directly

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