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APC CASE-11426

HC Exc H-F-Nk-Sp B9+Marg >4 Cm

Reported by 21 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

$2.7k

Average

$2.8k

Median

$2.8k

High

$2.9k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$2.8k$2.8k$2.8k$2.8k—
2Mercy Health Youngstown LlcWarren, OH$2.7k$2.7k$2.8k$2.8k$26
3Mercy Health Youngstown LlcYoungstown, OH$2.7k$2.7k$2.7k$2.7k—
4Jewish Hospital LlcCincinnati, OH$2.8k$2.8k$2.8k$2.9k$27
5Mercy Health Kings Mills Hospital LlcMason, OH$2.8k$2.8k$2.8k$2.9k$25
6Mercy Health St Ritas Medical Center LlcLima, OH$2.9k$2.9k$2.9k$2.9k$25
7Mercy Health Fairfield Hospital LlcFairfield, OH$2.9k$2.9k$2.9k$2.9k$27
8Mercy Health St Vincent Medical Center LlcOregon, OH$2.8k$2.8k$2.8k$2.8k—
9Mercy Health West Hospital LlcCincinnati, OH$2.9k$2.9k$2.9k$2.9k$25
10Mercy Health St Vincent Medical Center LlcPerrysburg, OH$2.8k$2.8k$2.8k$2.9k$19
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