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  5. /Percent of billed charges

NDC 00054849619

LEUCOVORIN TAB 5 MG

Reported by 77 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 13,754–13,925 billing samples across every hospital reporting.

Low

$1

Average

$41

Median

$2

High

$328

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.
1North Carolina Baptist HospitalBermuda Run, NC$248$328$1673,090–3,126$140$671
2Atrium Health Hospitals IncShelby, NC$215$218$1022,424–2,433$56$383
3The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$188$209$1052,347–2,374$52$383
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$202$212$1012,204–2,240$49$383
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$202$209$1041,930–1,948$40$391
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$242$234$115981$48$387
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$196$204$103761–788$40$371
8Carolinas Medical CenterCharlotte, NC$214$217$10916–25$77$403
9Carolinas Medical CenterCharlotte, NC$202$217$891–10$88$371
10UPMC St MargaretPittsburgh, PA$2$2$1—$0$4
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