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APC CASE-13101

Repair Complex Trunk 2.6-7.5 Cm|UNUSUAL NON-OVERLAPPING SERVICE

Reported by 14 hospitals in the network.

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.

National pricing summary

Low

$703

Average

$4.4k

Median

$1.7k

High

$30.1k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$1.6k$3.8k$4.2k$6.5k$1.7k
2Mercy Health Youngstown LlcWarren, OH$699$699$703$713$6
3Mercy Health Lourdes Hospital LlcPaducah, KY$5.5k$5.6k$5.6k$5.6k$54
4Jewish Hospital LlcCincinnati, OH$720$2.3k$2.3k$3.9k$1.6k
5Mercy Health St Ritas Medical Center LlcLima, OH$1.6k$1.6k$1.8k$2.9k$388
6Mercy Health Fairfield Hospital LlcFairfield, OH$1.6k$1.6k$1.6k$1.6k—
7Mercy Health Anderson Hospital LlcCincinnati, OH$1.6k$1.6k$1.6k$1.6k$11
8Mercy Health Youngstown LlcYoungstown, OH$715$715$981$1.6k$404
9Community Mercy Health PartnersSpringfield, OH$1.6k$1.6k$1.6k$1.6k—
10Bon Secours St Francis Medical Center LlcMidlothian, VA$6.5k$6.5k$6.5k$6.5k—
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