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APC CASE-15777

Implnt Bio Implnt for Soft Tissue Reinforcement|LEFT SIDE

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

$7.7k

Average

$11.4k

Median

$12.2k

High

$13.9k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$13.4k$13.4k$13.5k$13.7k$126
2Mercy Health Lourdes Hospital LlcPaducah, KY$8.1k$8.2k$8.2k$8.3k$81
3Jewish Hospital LlcCincinnati, OH$8.0k$13.4k$12.2k$13.7k$2.3k
4Mercy Health Regional Medical Center LlcLorain, OH$7.7k$7.7k$7.7k$7.7k—
5Mercy Health Kings Mills Hospital LlcMason, OH$13.4k$13.4k$13.5k$13.7k$107
6Mercy Health St Ritas Medical Center LlcLima, OH$10.5k$10.5k$10.5k$10.5k—
7Mercy Health Fairfield Hospital LlcFairfield, OH$3.3k$13.7k$11.6k$13.7k$4.1k
8Mercy Health Youngstown LlcYoungstown, OH$13.3k$13.3k$13.4k$13.6k$122
9Bon Secours St Francis Medical Center LlcMidlothian, VA$8.0k$13.4k$12.1k$13.7k$2.4k
10Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$6.7k$6.8k$8.6k$14.1k$3.0k
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