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Description

If the payer-specific negotiated charge is based on 87 percent of total billed charges, when the payment reflects the total of all charges provided at the time of the service, the hospitals should encode 87 in the payer-specific negotiated charge percentage data element and then calculate the 10th percentile, median, and 90th percentile allowed amount data elements in dollars so that MRF users can use that data to draw comparisons