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  5. /Percent of billed charges

NDC 00186-0654-01

UNCLASSIFIED DRUGS

Reported by 19 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 2,680–3,490 billing samples across every hospital reporting.

Low

$45

Average

$117

Median

$100

High

$287

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.
1Hanford Community HospitalHanford, CA$93$96$30519–582$57$264
2Lodi Memorial Hospital Association IncLodi, CA$226$287$117428–482$131$718
3White Memorial Medical CenterAngeles, CA$41$45$16353–425$19$290
4Northwest Medical Foundation Of TillamookTillamook, OR$81$69$18358–394$41$86
5Willits Hospital IncWillits, CA$121$104$42183–210$34$170
6Rideout Memorial HospitalMarysville, CA$108$106$10121–148$90$158
7Adventist Health Mendocino CoastBragg, CA$58$56$12128–137$31$248
8Sonora Community HospitalSonora, CA$249$230$4295–167$146$436
9Reedley Community HospitalReedley, CA$78$82$1897–106$62$202
10Glendale Adventist Medical CenterGlendale, CA$228$231$7479–115$98$992
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Look up this code directly

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