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APC CASE-11045

HC Debrid,Subq Ea Addt'l 20sqcm

Reported by 9 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

$386

Average

$593

Median

$404

High

$1.3k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$385$385$386$392$3
2Mercy Health St Vincent Medical Center LlcToledo, OH$395$395$1.2k$3.2k$1.2k
3Mercy Health St Ritas Medical Center LlcLima, OH$403$403$403$403—
4Mercy Health West Hospital LlcCincinnati, OH$403$403$404$411$3
5Mercy Health Youngstown LlcYoungstown, OH$393$393$484$729$145
6Bon Secours St Francis Medical Center LlcMidlothian, VA$397$397$398$405$2
7Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$408$408$410$416$4
8St Francis Hospital IncGreenville, SC$389$389$391$393$2
9Bon Secours Mercy Health Petersburg LlcPetersburg, VA$397$405$1.3k$2.9k$1.2k

Look up this code directly

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