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APC CASE-11730

HC ED Avulsion Nail Plate Single|RIGHT FOOT, SECOND DIGIT

Reported by 10 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

$200

Average

$1.9k

Median

$1.3k

High

$6.3k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$195$195$894$3.2k$1.3k
2Mercy Health Youngstown LlcWarren, OH$2.0k$2.0k$2.0k$2.0k—
3Mercy Health Lourdes Hospital LlcPaducah, KY$199$203$202$203$2
4Jewish Hospital LlcCincinnati, OH$130$131$1.4k$3.3k$1.5k
5Mercy Health St Ritas Medical Center LlcLima, OH$3.2k$3.2k$3.3k$3.3k$20
6Mercy Health West Hospital LlcCincinnati, OH$199$199$200$203$1
7Mercy Health Anderson Hospital LlcCincinnati, OH$3.2k$3.2k$3.2k$3.2k—
8Bon Secours St Francis Medical Center LlcMidlothian, VA$196$198$1.2k$3.3k$1.3k
9Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$201$201$202$205$2
10St Francis Hospital IncGreenville, SC$192$6.2k$6.3k$12.4k$6.1k

Look up this code directly

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