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APC CASE-11981

HC Insert Drug Implant Device|PBB CHARGE

Reported by 5 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

$130

Average

$2.7k

Median

$2.2k

High

$8.3k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$129$129$130$132$1
2Mercy Health Youngstown LlcYoungstown, OH$2.8k$2.8k$2.8k$2.8k—
3Mercy Health Defiance Hospital LlcDefiance, OH$705$705$2.2k$7.4k$2.7k
4Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$133$133$134$136$1
5Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$8.2k$8.2k$8.3k$8.4k$77

Look up this code directly

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