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APC 02043

ORTH/MATRX/BN FILL DRUG-ELUT

Reported by 5 hospitals in the network.

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.

National pricing summary

Low

$10.2k

Average

$11.6k

Median

$11.3k

High

$13.7k

Hospitals reporting this code

#HospitalLocation
1Northside Hospital, Inc.Lawrenceville, GA$12.1k$12.3k$13.7k$39.2k$5.5k
2Northside Hospital, Inc.Canton, GA$9.2k$9.4k$10.8k$39.2k$5.8k
3Northside Hospital, Inc.Atlanta, GA$9.7k$9.9k$11.3k$39.2k$5.7k
4Northside Hospital, Inc.Duluth, GA$9.3k$9.6k$11.8k$39.2k$6.0k
5Northside Hospital, Inc.Cumming, GA$8.5k$8.7k$10.2k$39.2k$6.1k

Look up this code directly

Ask Claude or any MCP client for APC 02043 pricing at a specific hospital — see how to connect.

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