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APC CASE-19371

Peri-Implant Capsulectomy Breast Complete|BILATERAL PROCEDURE

Reported by 10 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

$5.2k

Average

$6.8k

Median

$6.4k

High

$9.0k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$3.8k$6.5k$6.2k$8.1k$1.7k
2Mercy Health Youngstown LlcWarren, OH$6.3k$6.3k$6.3k$6.4k$54
3Jewish Hospital LlcCincinnati, OH$3.8k$6.5k$5.6k$8.1k$1.5k
4Mercy Health Regional Medical Center LlcLorain, OH$6.9k$7.7k$9.0k$13.3k$2.5k
5Mercy Health Youngstown LlcYoungstown, OH$3.8k$3.8k$5.2k$8.1k$2.0k
6Bon Secours St Francis Medical Center LlcMidlothian, VA$3.9k$7.1k$6.5k$8.1k$1.6k
7Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$3.9k$4.0k$5.7k$8.4k$2.1k
8St Francis Hospital IncGreenville, SC$7.0k$7.4k$7.4k$7.8k$423
9Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$8.4k$8.4k$8.4k$8.4k—
10St Francis Hospital IncGreenville, SC$7.8k$7.8k$7.9k$7.9k$38

Look up this code directly

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