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APC CASE-19330

Rmvl Ruptured Breast Implant W/Implant Contents

Reported by 7 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

$290

Average

$6.0k

Median

$7.7k

High

$8.1k

Hospitals reporting this code

#HospitalLocation
1Jewish Hospital LlcCincinnati, OH$3.5k$3.5k$3.5k$3.5k—
2Mercy Health Regional Medical Center LlcLorain, OH$290$290$290$290—
3Mercy Health St Vincent Medical Center LlcPerrysburg, OH$3.8k$6.5k$8.1k$13.4k$4.3k
4Bon Secours St Francis Medical Center LlcMidlothian, VA$6.5k$8.0k$7.7k$8.1k$607
5Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$3.6k$8.2k$6.7k$8.4k$2.2k
6Maryview Hospital LlcPortsmouth, VA$8.0k$8.1k$8.1k$8.1k$80
7Mary Immaculate Hospital LlcNewport News, VA$8.0k$8.0k$8.0k$8.1k$75

Look up this code directly

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