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APC CASE-20680

Removal Implant Deep|LEFT SIDE

Reported by 18 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

$2.8k

Average

$4.3k

Median

$3.7k

High

$8.9k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$2.7k$2.7k$3.5k$12.4k$2.6k
2Mercy Health Youngstown LlcYoungstown, OH$2.7k$2.8k$4.7k$7.0k$2.1k
3Mercy Health Regional Medical Center LlcLorain, OH$2.7k$2.7k$4.3k$6.9k$2.0k
4Mercy Health Kings Mills Hospital LlcMason, OH$2.8k$2.8k$2.8k$2.9k$25
5Mercy Health St Vincent Medical Center LlcOregon, OH$2.8k$2.8k$2.8k$2.8k—
6Mercy Health West Hospital LlcCincinnati, OH$2.9k$2.9k$2.9k$2.9k$22
7Mercy Health Anderson Hospital LlcCincinnati, OH$1.9k$2.9k$4.9k$12.8k$4.2k
8Mercy Health St Vincent Medical Center LlcPerrysburg, OH$2.8k$2.8k$2.8k$2.9k$21
9Community Mercy Health PartnersSpringfield, OH$2.8k$2.8k$5.5k$12.3k$4.3k
10Bon Secours St Francis Medical Center LlcMidlothian, VA$1.6k$2.8k$5.2k$12.5k$4.7k
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