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  5. /Percent of billed charges

NDC 08888-8876-05

KIT FOR THE PREP OF TC-99M-TILMANOCEPT SOLUTION FOR INJECTION (1-1.5 MCI)

Reported by 16 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 2–20 billing samples across every hospital reporting.

Low

$2.2k

Average

$2.5k

Median

$2.6k

High

$2.7k

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.
1Piedmont Columbus Regional - MidtownColumbus, GA$3.2k$2.7k$1.2k1–10$667$3.9k
2Piedmont EastsideSnellville, GA$3.0k$2.6k$1.0k1–10$900$4.2k
3Piedmont AugustaAugusta, GA$2.0k$2.2k$993—$748$4.2k
4Piedmont Mcduffie HospitalThomson, GA$1.9k$2.2k$1.1k—$744$4.2k
5Piedmont Columbus Regional - NorthsideColumbus, GA$3.1k$2.5k$1.2k—$537$3.9k
6Piedmont Athens RegionalAthens, GA$3.1k$2.6k$1.2k—$491$3.8k
7Piedmont MountainsideJasper, GA$3.1k$2.6k$1.2k—$501$3.9k
8Piedmont CartersvilleCartersville, GA$3.1k$2.6k$1.1k—$544$4.2k
9Piedmont FayetteFayetteville, GA$3.1k$2.6k$1.2k—$425$3.9k
10Piedmont NewnanNewnan, GA$3.1k$2.6k$1.2k—$435$4.3k
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Look up this code directly

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