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APC CASE-13151

HC Rep Cpx Ey/ER/Ns/Lp 1.1-2.5

Reported by 8 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

$699

Average

$828

Median

$722

High

$1.6k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$718$718$718$718—
2Mercy Health Youngstown LlcWarren, OH$699$699$702$713$5
3Mercy Health Youngstown LlcYoungstown, OH$699$699$699$699—
4Jewish Hospital LlcCincinnati, OH$720$720$720$720—
5Mercy Health St Ritas Medical Center LlcLima, OH$733$733$733$733—
6Mercy Health Anderson Hospital LlcCincinnati, OH$720$720$723$735$6
7Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$741$741$746$756$7
8St Francis Hospital IncGreenville, SC$1.6k$1.6k$1.6k$1.6k$7

Look up this code directly

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