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APC CASE-19120

Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|RIGHT SIDE

Reported by 23 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

$3.7k

Average

$3.9k

Median

$3.8k

High

$4.8k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$3.8k$3.8k$4.8k$6.5k$1.3k
2Mercy Health Youngstown LlcWarren, OH$3.7k$3.7k$3.7k$3.8k$35
3Mercy Health Youngstown LlcYoungstown, OH$3.7k$3.7k$3.7k$3.7k—
4Mercy Health Lourdes Hospital LlcPaducah, KY$3.9k$3.9k$3.9k$4.0k$35
5Jewish Hospital LlcCincinnati, OH$3.8k$3.8k$3.8k$3.9k$35
6Mercy Health St Vincent Medical Center LlcToledo, OH$3.8k$3.8k$3.8k$3.8k—
7Mercy Health Regional Medical Center LlcLorain, OH$3.7k$3.7k$3.7k$3.8k$28
8Mercy Health Kings Mills Hospital LlcMason, OH$3.8k$3.8k$3.8k$3.8k—
9Mercy Health St Ritas Medical Center LlcLima, OH$3.9k$3.9k$3.9k$3.9k—
10Mercy Health Fairfield Hospital LlcFairfield, OH$3.9k$3.9k$4.6k$6.6k$1.2k
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