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APC CASE-11424

HC Exc Lesn Bgn Scalp/Hnd 3.1-4.0-Pbb

Reported by 13 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

$1.6k

Average

$1.8k

Median

$1.6k

High

$2.8k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$1.6k$1.6k$1.6k$1.6k$16
2Jewish Hospital LlcCincinnati, OH$1.6k$1.6k$1.6k$1.6k—
3Mercy Health Regional Medical Center LlcLorain, OH$1.6k$1.6k$1.6k$1.6k$11
4Mercy Health St Ritas Medical Center LlcLima, OH$1.6k$1.6k$1.6k$1.7k$14
5Mercy Health Fairfield Hospital LlcFairfield, OH$1.6k$1.6k$1.6k$1.6k—
6Mercy Health West Hospital LlcCincinnati, OH$1.6k$1.6k$1.6k$1.7k$15
7Mercy Health St Vincent Medical Center LlcPerrysburg, OH$2.8k$2.8k$2.8k$2.9k$24
8Bon Secours St Francis Medical Center LlcMidlothian, VA$2.8k$2.8k$2.8k$2.8k—
9Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$1.7k$1.7k$1.7k$1.7k$13
10St Francis Hospital IncGreenville, SC$1.6k$1.6k$1.6k$1.6k$8
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