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  5. /Percent of billed charges

NDC 00469-0872-02

INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS)

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 24–240 billing samples across every hospital reporting.

Low

$19

Average

$53

Median

$42

High

$142

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.
1Lodi Memorial Hospital Association IncLodi, CA$89$112$484–40$1$271
2Rideout Memorial HospitalMarysville, CA$44$43$43–30$0$64
3San Joaquin Community HospitalBakersfield, CA$59$66$193–30$0$307
4White Memorial Medical CenterAngeles, CA$34$37$133–30$1$228
5Northwest Medical Foundation Of TillamookTillamook, OR$36$31$82–20$18$39
6Adventist Health Medical Center TehachapiTehachapi, CA$40$40$212–20$1$218
7Adventist Health Clearlake Hospital IncClearlake, CA$48$40$172–20$1$61
8Hanford Community HospitalHanford, CA$38$39$112–20$1$99
9Glendale Adventist Medical CenterGlendale, CA$140$142$451–10$1$608
10Adventist Health DelanoDelano, CA$27$25$61–10$0$49
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