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APC CASE-11106

HC Incisional Biopsy Skin Single Lesion

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

$701

Average

$803

Median

$723

High

$1.1k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcYoungstown, OH$699$699$701$713$5
2Jewish Hospital LlcCincinnati, OH$720$720$723$735$5
3Mercy Health West Hospital LlcCincinnati, OH$733$747$1.1k$1.6k$449
4Mercy Health St Vincent Medical Center LlcPerrysburg, OH$718$718$720$732$5
5Bon Secours Mercy Health Petersburg LlcPetersburg, VA$721$721$726$736$7

Look up this code directly

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