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APC CASE-22513

HC Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulation

Reported by 11 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

$8.5k

Median

$7.1k

High

$12.3k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$7.0k$7.0k$7.1k$7.2k$49
2Mercy Health Youngstown LlcWarren, OH$12.1k$12.1k$12.1k$12.1k—
3Mercy Health Lourdes Hospital LlcPaducah, KY$7.2k$7.3k$7.3k$7.4k$72
4Mercy Health St Vincent Medical Center LlcToledo, OH$7.0k$7.0k$7.0k$7.0k—
5Mercy Health Regional Medical Center LlcLorain, OH$12.1k$12.1k$12.1k$12.1k—
6Mercy Health St Ritas Medical Center LlcLima, OH$7.2k$7.2k$7.2k$7.3k$58
7Mercy Health St Vincent Medical Center LlcOregon, OH$7.0k$7.0k$7.0k$7.0k—
8Mercy Health St Vincent Medical Center LlcPerrysburg, OH$7.0k$7.0k$7.1k$7.2k$53
9Mercy Health Youngstown LlcYoungstown, OH$7.0k$7.0k$7.0k$7.0k—
10Community Mercy Health PartnersSpringfield, OH$7.0k$7.0k$7.0k$7.0k—
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