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APC CASE-12001

HC Rep Lac Smp Not Face <2.5cm|UNUSUAL NON-OVERLAPPING SERVICE

Reported by 4 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

$822

Median

$698

High

$1.7k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$195$395$673$1.6k$583
2Mercy Health West Hospital LlcCincinnati, OH$199$199$200$203$2
3Mercy Health St Vincent Medical Center LlcPerrysburg, OH$195$1.7k$1.7k$3.2k$1.5k
4Bon Secours St Francis Medical Center LlcMidlothian, VA$721$721$722$736$4

Look up this code directly

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