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APC CASE-20902

Bone Graft Any Donor Area Major/Large|M/CAID CARE LEV 11 STATE DEF

Reported by 8 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

$7.0k

Average

$10.9k

Median

$11.2k

High

$15.9k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$7.0k$7.0k$7.0k$7.0k—
2Jewish Hospital LlcCincinnati, OH$7.1k$7.1k$7.1k$7.2k$55
3Mercy Health St Vincent Medical Center LlcToledo, OH$12.5k$12.5k$12.5k$12.5k—
4Mercy Health Anderson Hospital LlcCincinnati, OH$12.5k$17.1k$15.9k$17.1k$2.0k
5Bon Secours St Francis Medical Center LlcMidlothian, VA$12.5k$12.5k$12.6k$12.8k$108
6St Francis Hospital IncGreenville, SC$7.0k$7.0k$9.3k$12.4k$2.7k
7Maryview Hospital LlcPortsmouth, VA$7.1k$10.0k$10.0k$12.8k$2.8k
8Mary Immaculate Hospital LlcNewport News, VA$12.5k$12.5k$12.5k$12.5k—

Look up this code directly

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