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APC CASE-20610

HC Arthrocent/Aspiration Maj Jnt|RIGHT SIDE

Reported by 23 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

$273

Average

$1.6k

Median

$555

High

$6.7k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$298$298$4.5k$12.5k$5.8k
2Mercy Health Youngstown LlcWarren, OH$290$290$570$3.1k$653
3Mercy Health Youngstown LlcYoungstown, OH$290$290$1.1k$12.1k$3.0k
4Mercy Health Lourdes Hospital LlcPaducah, KY$305$305$458$1.6k$416
5Jewish Hospital LlcCincinnati, OH$278$278$285$305$10
6Mercy Health St Vincent Medical Center LlcToledo, OH$119$298$273$304$63
7Mercy Health Regional Medical Center LlcLorain, OH$290$290$555$12.1k$1.6k
8Mercy Health Kings Mills Hospital LlcMason, OH$299$299$370$1.6k$290
9Mercy Health St Ritas Medical Center LlcLima, OH$304$304$802$12.7k$2.4k
10Mercy Health Fairfield Hospital LlcFairfield, OH$304$304$305$310$1
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