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  5. /Percent of billed charges

NDC 62332002631

62332-0026-31 - theophylline 450 mg Tab-ER

Reported by 24 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

$12

Average

$661

Median

$1.1k

High

$1.7k

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.
1North Carolina Baptist HospitalBermuda Run, NC$1.3k$1.7k$8853,090–3,126$742$3.6k
2Atrium Health Hospitals IncShelby, NC$1.1k$1.2k$5382,424–2,433$299$2.0k
3The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$994$1.1k$5532,347–2,374$277$2.0k
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$1.1k$1.1k$5362,204–2,240$262$2.0k
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$1.1k$1.1k$5511,930–1,948$213$2.1k
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$1.3k$1.2k$609981$256$2.0k
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$1.0k$1.1k$546761–788$213$2.0k
8Carolinas Medical CenterCharlotte, NC$1.1k$1.1k$57816–25$405$2.1k
9Carolinas Medical CenterCharlotte, NC$1.1k$1.1k$4731–10$465$2.0k
10IOM Health System LPFort Wayne, IN$24$27$10—$12$45
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