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APC CASE-19370

Revision Peri-Implant Capsule Breast|LEFT SIDE

Reported by 15 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

$5.7k

Average

$7.3k

Median

$7.4k

High

$8.4k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$7.0k$7.0k$7.4k$8.1k$445
2Mercy Health Youngstown LlcWarren, OH$6.9k$6.9k$7.2k$7.9k$430
3Mercy Health Youngstown LlcYoungstown, OH$7.7k$7.7k$7.7k$7.7k—
4Mercy Health Lourdes Hospital LlcPaducah, KY$3.9k$6.7k$6.4k$8.3k$1.6k
5Jewish Hospital LlcCincinnati, OH$3.8k$6.5k$5.7k$8.0k$1.7k
6Mercy Health Regional Medical Center LlcLorain, OH$6.9k$6.9k$6.9k$7.0k$48
7Mercy Health Fairfield Hospital LlcFairfield, OH$7.2k$7.2k$7.2k$7.3k$48
8Community Mercy Health PartnersSpringfield, OH$8.4k$8.4k$8.4k$8.4k—
9Bon Secours St Francis Medical Center LlcMidlothian, VA$7.1k$8.0k$7.8k$8.1k$345
10Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$3.9k$7.3k$6.0k$8.4k$1.8k
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