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APC CASE-19328

Removal Intact Breast Implant|BILATERAL PROCEDURE

Reported by 8 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

$3.9k

Average

$7.6k

Median

$7.0k

High

$13.7k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$6.3k$6.3k$6.3k$6.4k$59
2Mercy Health St Ritas Medical Center LlcLima, OH$13.7k$13.7k$13.7k$13.7k—
3Mercy Health Fairfield Hospital LlcFairfield, OH$6.6k$6.6k$6.6k$6.7k$57
4Mercy Health Youngstown LlcYoungstown, OH$7.9k$7.9k$7.9k$8.1k$63
5Bon Secours St Francis Medical Center LlcMidlothian, VA$6.5k$8.0k$7.3k$8.0k$743
6Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$3.9k$8.2k$6.7k$8.4k$2.1k
7Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$3.9k$3.9k$3.9k$4.0k$31
8Mary Immaculate Hospital LlcNewport News, VA$8.0k$8.1k$8.1k$8.1k$80

Look up this code directly

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