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APC CASE-12041

HC Lyr Clos Nk Hnd Ft <2.6cm|UNUSUAL NON-OVERLAPPING SERVICE

Reported by 14 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

$408

Average

$1.5k

Median

$1.6k

High

$3.3k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Lourdes Hospital LlcPaducah, KY$404$408$408$412$4
2Mercy Health St Vincent Medical Center LlcToledo, OH$1.6k$1.6k$1.6k$1.6k$11
3Mercy Health St Ritas Medical Center LlcLima, OH$1.6k$1.6k$1.6k$1.6k—
4Mercy Health Clermont Hospital LlcBatavia, OH$1.6k$1.6k$1.6k$1.6k$11
5Mercy Health West Hospital LlcCincinnati, OH$1.6k$1.6k$1.6k$1.7k$11
6Mercy Health St Vincent Medical Center LlcPerrysburg, OH$688$688$996$1.6k$433
7Mercy Health Youngstown LlcYoungstown, OH$1.6k$2.0k$1.8k$2.0k$193
8Community Mercy Health PartnersSpringfield, OH$680$680$682$693$5
9Bon Secours St Francis Medical Center LlcMidlothian, VA$1.6k$1.6k$1.6k$1.6k—
10Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$1.7k$1.7k$1.7k$1.7k$15
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