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APC CASE-12032

HC Lyr Clos Sc Tk Ext 2.6-7 Cm

Reported by 21 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

$385

Average

$1.1k

Median

$891

High

$2.5k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$385$385$385$385—
2Mercy Health Youngstown LlcYoungstown, OH$385$392$891$1.6k$582
3Jewish Hospital LlcCincinnati, OH$396$396$397$404$3
4Mercy Health St Vincent Medical Center LlcToledo, OH$395$395$396$403$3
5Mercy Health Kings Mills Hospital LlcMason, OH$1.6k$1.6k$1.6k$1.6k—
6Mercy Health St Ritas Medical Center LlcLima, OH$403$403$557$1.6k$408
7Mercy Health Fairfield Hospital LlcFairfield, OH$1.6k$1.6k$1.6k$1.6k—
8Mercy Health Clermont Hospital LlcBatavia, OH$396$396$397$404$3
9Mercy Health West Hospital LlcCincinnati, OH$403$403$403$403—
10Mercy Health Anderson Hospital LlcCincinnati, OH$396$396$396$396—
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