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  5. /Percent of billed charges

LOCAL SUP65878

DISTAL FEMUR RIGHT 6495-2-040

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

$7.9k

Average

$8.0k

Median

$7.9k

High

$8.3k

Hospitals reporting this code

#HospitalLocation
1Vanderbilt Wilson County HospitalLebanon, TN$5.8k$6.3k$8.0k$19.2k$2.6k
2Vanderbilt Tullahoma-Harton HospitalTullahoma, TN$3.8k$6.3k$7.9k$19.2k$2.8k
3Vanderbilt University Medical CenterNashville, TN$5.8k$8.1k$8.3k$19.2k$2.9k
4Vanderbilt Bedford HospitalShelbyville, TN$3.8k$6.3k$7.9k$19.2k$2.8k

Look up this code directly

Ask Claude or any MCP client for LOCAL SUP65878 pricing at a specific hospital — see how to connect.

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