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  5. /Percent of billed charges

NDC 54092017112

54092-0171-12 - carbamazepine 100. mg Cap-ER

Reported by 32 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

$1

Average

$229

Median

$21

High

$801

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$604$801$4083,090–3,126$342$1.6k
2Atrium Health Hospitals IncShelby, NC$525$532$2482,424–2,433$138$934
3The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$458$510$2552,347–2,374$128$934
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$492$516$2472,204–2,240$121$934
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$492$510$2541,930–1,948$98$954
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$590$571$281981$118$944
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$477$498$252761–788$98$905
8Carolinas Medical CenterCharlotte, NC$523$530$26716–25$187$983
9Carolinas Medical CenterCharlotte, NC$492$529$2181–10$214$905
10IOM Health System LPFort Wayne, IN$9$10$4—$5$17
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