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  5. /Percent of billed charges

NDC 54092010001

54092-0100-01 - mesalamine 1.2 g Tab-DR

Reported by 47 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 13,754–13,925 billing samples across every hospital reporting.

Low

$7

Average

$306

Median

$32

High

$1.5k

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.
1North Carolina Baptist HospitalBermuda Run, NC$1.1k$1.5k$7603,090–3,126$637$3.0k
2Atrium Health Hospitals IncShelby, NC$978$989$4622,424–2,433$256$1.7k
3The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$853$950$4752,347–2,374$238$1.7k
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$915$961$4602,204–2,240$225$1.7k
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$915$950$4731,930–1,948$183$1.8k
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$1.1k$1.1k$523981$220$1.8k
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$889$928$469761–788$183$1.7k
8Carolinas Medical CenterCharlotte, NC$973$986$49616–25$348$1.8k
9Carolinas Medical CenterCharlotte, NC$915$984$4061–10$399$1.7k
10IOM Health System LPFort Wayne, IN$41$46$17—$21$76
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