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  5. /Percent of billed charges

NDC 64764017530

64764-0175-30 - dexlansoprazole Cap-EC

Reported by 33 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

$342

Median

$82

High

$1.2k

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$876$1.2k$5923,090–3,126$496$2.4k
2Atrium Health Hospitals IncShelby, NC$761$771$3602,424–2,433$200$1.4k
3The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$664$739$3702,347–2,374$185$1.4k
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$713$748$3592,204–2,240$175$1.4k
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$713$740$3681,930–1,948$143$1.4k
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$855$827$407981$171$1.4k
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$692$723$365761–788$143$1.3k
8Carolinas Medical CenterCharlotte, NC$758$768$38616–25$271$1.4k
9Carolinas Medical CenterCharlotte, NC$713$767$3161–10$311$1.3k
10IOM Health System LPFort Wayne, IN$40$45$17—$21$75
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