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APC CASE-25607

Optx Dstl Radl X-Artic Fx/Epiphysl Sep|RIGHT SIDE

Reported by 22 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

$6.8k

Average

$7.1k

Median

$7.1k

High

$7.3k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$6.9k$6.9k$6.9k$7.0k$45
2Mercy Health Youngstown LlcYoungstown, OH$6.9k$6.9k$6.9k$6.9k—
3Mercy Health Lourdes Hospital LlcPaducah, KY$7.2k$7.4k$7.3k$7.4k$68
4Mercy Health St Vincent Medical Center LlcToledo, OH$7.0k$7.0k$7.1k$7.2k$34
5Mercy Health Regional Medical Center LlcLorain, OH$6.9k$6.9k$6.9k$7.0k$50
6Mercy Health Kings Mills Hospital LlcMason, OH$7.1k$7.1k$7.1k$7.2k$47
7Mercy Health St Ritas Medical Center LlcLima, OH$7.2k$7.2k$7.2k$7.3k$41
8Mercy Health St Vincent Medical Center LlcOregon, OH$7.0k$7.0k$7.0k$7.0k—
9Mercy Health West Hospital LlcCincinnati, OH$7.2k$7.2k$7.2k$7.3k$68
10Mercy Health Anderson Hospital LlcCincinnati, OH$7.1k$7.1k$7.1k$7.2k$57
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