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APC CASE-0055T

Bone Surgery Using Computer|RIGHT SIDE

Reported by 12 hospitals in the network under the other 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 payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$691

Average

$11.4k

Median

$12.4k

High

$13.6k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$12.1k$12.1k$12.1k$12.1k—
2Mercy Health Youngstown LlcYoungstown, OH$12.1k$12.1k$12.1k$12.1k—
3Jewish Hospital LlcCincinnati, OH$688$688$691$702$6
4Mercy Health Fairfield Hospital LlcFairfield, OH$12.7k$12.9k$12.9k$13.0k$127
5Mercy Health West Hospital LlcCincinnati, OH$12.7k$12.7k$12.7k$12.7k—
6Community Mercy Health PartnersSpringfield, OH$12.3k$12.3k$12.3k$12.3k—
7Bon Secours St Francis Medical Center LlcMidlothian, VA$12.5k$12.5k$12.5k$12.5k—
8St Francis Hospital IncGreenville, SC$12.3k$12.3k$12.3k$12.4k$53
9Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$12.9k$12.9k$12.9k$12.9k—
10Bon Secours Mercy Health Franklin LlcFranklin, VA$13.4k$13.6k$13.6k$13.7k$134
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