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  5. /Percent of billed charges

NDC 17156-023-05

technetium Tc 99m exametazime labeled autologous WBC radiopharmaceutical injection 17.2 millicurie

Reported by 2 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

Low

$5.3k

Average

$6.5k

Median

$6.5k

High

$7.7k

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.
1Spohn Hospital Corpus Christi - ShorelineCorpus Christi, TX$3.0k$5.3k$4.6k—$1.0k$16.1k
2St. Frances Cabrini HospitalAlexandria, LA$9.2k$7.7k$4.0k—$961$13.0k

Look up this code directly

Ask Claude or any MCP client for NDC 17156-023-05 pricing at a specific hospital — see how to connect.

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