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APC CASE-19340

Insertion Breast Implant Same Day of Mastectomy|BILATERAL PROCEDURE

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

$8.2k

Average

$12.3k

Median

$13.4k

High

$13.7k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$13.4k$13.4k$13.4k$13.4k—
2Jewish Hospital LlcCincinnati, OH$8.0k$8.0k$10.4k$13.4k$2.7k
3Mercy Health Fairfield Hospital LlcFairfield, OH$13.7k$13.7k$13.7k$13.7k—
4Mercy Health St Vincent Medical Center LlcPerrysburg, OH$13.4k$13.4k$13.4k$13.4k—
5Bon Secours St Francis Medical Center LlcMidlothian, VA$13.4k$13.4k$13.5k$13.7k$116
6Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$8.2k$8.2k$8.2k$8.2k—
7Maryview Hospital LlcPortsmouth, VA$13.4k$13.4k$13.4k$13.4k—

Look up this code directly

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