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APC CASE-20999

Unlisted Procedure Muscskeletal System General

Reported by 7 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

$237

Average

$5.1k

Median

$3.2k

High

$12.5k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Regional Medical Center LlcLorain, OH$12.1k$12.1k$12.1k$12.1k—
2Mercy Health St Ritas Medical Center LlcLima, OH$245$245$245$245—
3Mercy Health Fairfield Hospital LlcFairfield, OH$3.2k$3.2k$3.2k$3.2k—
4Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$7.3k$7.3k$7.3k$7.4k$69
5St Francis Hospital IncGreenville, SC$236$236$237$239$1
6Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$247$247$249$252$2
7Mary Immaculate Hospital LlcNewport News, VA$12.5k$12.5k$12.5k$12.5k—

Look up this code directly

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