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  5. /Percent of billed charges

NDC 68180097401

68180-0974-01 - levothyroxine 175 mcg (0.175 mg) T

Reported by 61 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

$0

Average

$19

Median

$3

High

$105

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$79$105$543,090–3,126$45$215
2Atrium Health Hospitals IncShelby, NC$75$76$352,424–2,433$20$133
3The Charlotte Mecklenburg Hospital AuthorityMonroe, NC$65$73$362,347–2,374$18$133
4The Charlotte Mecklenburg Hospital AuthorityConcord, NC$70$73$352,204–2,240$17$133
5The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$70$73$361,930–1,948$14$136
6The Charlotte Mecklenburg Hospital AuthorityAlbermarle, NC$84$81$40981$17$134
7The Charlotte Mecklenburg Hospital AuthorityCharlotte, NC$68$71$36761–788$14$129
8Carolinas Medical CenterCharlotte, NC$74$75$3816–25$27$140
9Carolinas Medical CenterCharlotte, NC$70$75$311–10$30$129
10IOM Health System LPFort Wayne, IN$5$5$2—$2$9
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