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  5. /Percent of billed charges

NDC 00005200002

PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY

Reported by 57 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

$233

Average

$735

Median

$721

High

$1.8k

Hospitals reporting this code

#HospitalLocation
1Northwest Iowa Hospital CorporationSioux City, IA$163$324$324$408$75
2Central Iowa Hospital CorporationDes Moines, IA$128$272$247$329$59
3Central Iowa Hospital CorporationDes Moines, IA$128$272$233$329$68
4UnityPoint Health MarshalltownMarshalltown, IA$219$314$349$500$111
5Aurora Sinai Medical Center of Aurora Health Care Metro IncMilwaukee, WI$255$395$362$727$71
6Northside Hospital, Inc.Lawrenceville, GA$217$958$1.1k$1.5k$260
7Northside Hospital, Inc.Canton, GA$159$958$1.1k$1.5k$253
8Northside Hospital, Inc.Atlanta, GA$231$958$1.1k$1.5k$249
9Northside Hospital, Inc.Duluth, GA$186$958$1.1k$1.5k$260
10Northside Hospital, Inc.Cumming, GA$178$958$1.1k$1.5k$249
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