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APC CASE-19357

Tissue Expander Placement Breast Reconstruction|LEFT SIDE

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

$13.0k

Average

$13.5k

Median

$13.5k

High

$13.9k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$13.4k$13.4k$13.4k$13.7k$94
2Mercy Health Lourdes Hospital LlcPaducah, KY$13.7k$14.0k$13.9k$14.0k$132
3Jewish Hospital LlcCincinnati, OH$13.4k$13.4k$13.5k$13.7k$112
4Mercy Health Regional Medical Center LlcLorain, OH$13.0k$13.0k$13.0k$13.0k—
5Mercy Health Kings Mills Hospital LlcMason, OH$13.4k$13.4k$13.5k$13.7k$116
6Mercy Health St Ritas Medical Center LlcLima, OH$13.7k$13.9k$13.8k$13.9k$129
7Mercy Health Fairfield Hospital LlcFairfield, OH$13.7k$13.7k$13.7k$13.7k—
8Mercy Health Youngstown LlcYoungstown, OH$13.3k$13.3k$13.3k$13.3k—
9Community Mercy Health PartnersSpringfield, OH$13.2k$13.2k$13.2k$13.2k—
10Bon Secours St Francis Medical Center LlcMidlothian, VA$13.4k$13.4k$13.5k$13.7k$85
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