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APC CASE-11621

Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm

Reported by 2 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

$690

Average

$692

Median

$692

High

$695

Hospitals reporting this code

#HospitalLocation
1Jewish Hospital LlcCincinnati, OH$690$690$695$704$7
2Mercy Health Clermont Hospital LlcBatavia, OH$690$690$690$690—

Look up this code directly

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