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  5. /Percent of billed charges

NDC 00591322001

BUTALBITAL 50 MG-ACETAMINOPHEN 325 MG-CAFFEINE 40 MG-CODEINE 30 MG CAP

Reported by 37 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 11,757–11,928 billing samples across every hospital reporting.

Low

$3

Average

$107

Median

$6

High

$749

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.
1Atrium Health Hospitals IncShelby, NC$199$201$942,424–2,433$52$353
2The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$173$193$972,347–2,374$48$353
3The Charlotte Mecklenburg Hospital AuthorityConcord, NC$186$195$942,204–2,240$46$353
4The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$186$193$961,930–1,948$37$361
5Lexington Medical CenterLexington, NC$630$749$3801,091–1,109$266$1.3k
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$223$216$106981$45$357
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$181$189$95761–788$37$342
8Carolinas Medical CenterCharlotte, NC$198$200$10116–25$71$372
9Floyd Healthcare Management IncRome, GA$424$381$1512–20$120$601
10Carolinas Medical CenterCharlotte, NC$186$200$831–10$81$342
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