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APC CASE-24665

Open Tx Radial Head/Neck Fracture|LEFT SIDE

Reported by 6 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

$7.3k

High

$12.3k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Regional Medical Center LlcLorain, OH$12.1k$12.3k$12.3k$12.4k$121
2Mercy Health Anderson Hospital LlcCincinnati, OH$7.1k$7.1k$7.1k$7.2k$49
3Mercy Health Youngstown LlcYoungstown, OH$7.0k$12.4k$10.2k$12.7k$2.7k
4Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$7.3k$7.3k$7.3k$7.4k$69
5Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$7.3k$7.3k$7.3k$7.3k—
6St Francis Hospital IncGreenville, SC$7.0k$7.0k$7.0k$7.0k$30

Look up this code directly

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