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APC CASE-23615

Optx Prox Humeral Fx W/Int Fixj Rpr Tuberosity|LEFT SIDE

Reported by 18 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

$12.1k

Average

$12.6k

Median

$12.5k

High

$13.5k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$12.5k$12.5k$12.5k$12.5k—
2Mercy Health Youngstown LlcWarren, OH$12.1k$12.1k$12.1k$12.1k—
3Mercy Health Youngstown LlcYoungstown, OH$12.1k$12.1k$12.2k$12.4k$67
4Jewish Hospital LlcCincinnati, OH$12.5k$12.5k$12.5k$12.5k—
5Mercy Health St Vincent Medical Center LlcToledo, OH$12.5k$12.5k$12.5k$12.5k—
6Mercy Health Fairfield Hospital LlcFairfield, OH$12.7k$12.7k$12.8k$13.0k$80
7Mercy Health St Vincent Medical Center LlcOregon, OH$12.5k$12.5k$12.5k$12.5k—
8Mercy Health West Hospital LlcCincinnati, OH$12.7k$12.7k$12.7k$12.7k—
9Mercy Health Anderson Hospital LlcCincinnati, OH$12.5k$12.5k$12.6k$12.8k$93
10Mercy Health St Vincent Medical Center LlcPerrysburg, OH$12.5k$12.5k$12.5k$12.7k$85
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