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APC CASE-19318

Breast Reduction|BILATERAL PROCEDURE

Reported by 16 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

$6.3k

Average

$6.6k

Median

$6.6k

High

$7.2k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$6.5k$6.5k$6.5k$6.5k—
2Mercy Health Youngstown LlcWarren, OH$6.3k$6.3k$6.3k$6.4k$50
3Mercy Health Lourdes Hospital LlcPaducah, KY$6.6k$6.6k$6.6k$6.6k—
4Jewish Hospital LlcCincinnati, OH$6.5k$7.1k$7.1k$8.1k$585
5Mercy Health Kings Mills Hospital LlcMason, OH$6.5k$6.5k$6.5k$6.6k$61
6Mercy Health Fairfield Hospital LlcFairfield, OH$6.6k$6.6k$6.6k$6.7k$66
7Mercy Health Anderson Hospital LlcCincinnati, OH$6.5k$6.5k$6.5k$6.6k$48
8Mercy Health Youngstown LlcYoungstown, OH$6.4k$6.4k$6.4k$6.6k$48
9Community Mercy Health PartnersSpringfield, OH$6.4k$6.4k$6.4k$6.4k—
10Bon Secours St Francis Medical Center LlcMidlothian, VA$6.5k$7.1k$6.9k$7.1k$266
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