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APC CASE-15769

Grafting of Autologous Soft Tiss by Direct Exc

Reported by 6 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

$3.2k

Average

$4.4k

Median

$4.1k

High

$5.9k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$3.4k$3.4k$3.5k$3.5k$30
2Jewish Hospital LlcCincinnati, OH$3.2k$3.2k$3.2k$3.2k—
3Mercy Health West Hospital LlcCincinnati, OH$5.9k$5.9k$5.9k$6.0k$47
4Bon Secours St Francis Medical Center LlcMidlothian, VA$3.5k$3.5k$3.5k$3.5k$22
5Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$3.3k$4.6k$4.7k$6.1k$1.4k
6St Francis Hospital IncGreenville, SC$5.7k$5.7k$5.7k$5.7k$23

Look up this code directly

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