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APC CASE-13132

HC Rep Cpx Face H Ft 2.6-7.5cm|SEPARATE STRUCTURE

Reported by 15 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

$396

Average

$2.1k

Median

$1.6k

High

$8.7k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$1.6k$1.6k$1.6k$1.6k$11
2Mercy Health Youngstown LlcWarren, OH$2.7k$2.7k$2.7k$2.7k—
3Mercy Health Youngstown LlcYoungstown, OH$385$385$777$1.6k$555
4Mercy Health Lourdes Hospital LlcPaducah, KY$404$404$407$412$4
5Jewish Hospital LlcCincinnati, OH$1.6k$2.8k$2.3k$2.9k$603
6Mercy Health Regional Medical Center LlcLorain, OH$1.6k$1.6k$2.0k$2.7k$581
7Mercy Health Kings Mills Hospital LlcMason, OH$1.6k$1.6k$1.6k$1.6k—
8Mercy Health St Ritas Medical Center LlcLima, OH$403$403$403$403—
9Mercy Health Fairfield Hospital LlcFairfield, OH$2.9k$2.9k$2.9k$2.9k—
10Mercy Health West Hospital LlcCincinnati, OH$2.9k$2.9k$2.9k$2.9k$26
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