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CDM 32000047

HC XR MANDIBLE at Vanderbilt Wilson County Hospital

Lebanon, TN

Pricing by billing methodology

Price type

All methodologies

$130

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$86

Reflects negotiated fee schedule rates with commercial payers.

Per diem

$101

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$163

Reflects a negotiated percentage of total billed charges.

Other

$0

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Oct 1, 2025

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