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APC 4005

Radiation treatment delivery, 11-19 MeV; simple

Reported by 4 hospitals in the network under the case rate 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 flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$123

Average

$159

Median

$168

High

$178

Hospitals reporting this code

#HospitalLocation
1Palmdale Regional Medical CenterPalmdale, CA—$121$123—$11
2Sanford Fargo Medical CenterFargo, ND$146$170$170$196$18
3Sanford Medical Center BismarckBismarck, ND$164$178$178$193$14
4Sanford USD Medical CenterSioux Falls, SD$142$165$166$191$17

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