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APC CASE-12034

HC Lyr Clos Sc Tk Ext 7.6-12cm

Reported by 9 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

$397

Average

$2.8k

Median

$1.6k

High

$9.4k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcYoungstown, OH$1.6k$1.6k$1.6k$1.6k—
2Mercy Health Clermont Hospital LlcBatavia, OH$396$396$397$404$3
3Mercy Health West Hospital LlcCincinnati, OH$1.6k$1.6k$1.6k$1.6k—
4Mercy Health St Vincent Medical Center LlcPerrysburg, OH$395$395$656$1.6k$498
5Bon Secours St Francis Medical Center LlcMidlothian, VA$1.6k$1.6k$1.6k$1.6k—
6St Francis Hospital IncGreenville, SC$2.8k$2.8k$2.8k$2.8k$14
7Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$1.7k$1.7k$3.1k$6.7k$2.3k
8St Francis Hospital IncGreenville, SC$3.8k$3.8k$3.8k$3.8k—
9Maryview Hospital LlcPortsmouth, VA$8.0k$8.1k$9.4k$13.7k$2.5k

Look up this code directly

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