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APC CASE-11730

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

Reported by 10 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

$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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