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APC CASE-25628

Open Tx Carpal Scaphoid Navicular Fracture|RIGHT SIDE

Reported by 9 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

$6.9k

Average

$7.1k

Median

$7.1k

High

$7.3k

Hospitals reporting this code

#HospitalLocation
1Jewish Hospital LlcCincinnati, OH$7.1k$7.1k$7.1k$7.2k$47
2Mercy Health St Vincent Medical Center LlcToledo, OH$7.0k$7.0k$7.0k$7.0k—
3Mercy Health Regional Medical Center LlcLorain, OH$6.9k$6.9k$6.9k$7.0k$59
4Mercy Health Anderson Hospital LlcCincinnati, OH$7.1k$7.1k$7.1k$7.2k$53
5Mercy Health St Vincent Medical Center LlcPerrysburg, OH$7.0k$7.0k$7.1k$7.2k$51
6Bon Secours St Francis Medical Center LlcMidlothian, VA$7.1k$7.1k$7.1k$7.2k$50
7Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$7.3k$7.3k$7.3k$7.4k$66
8St Francis Hospital IncGreenville, SC$7.0k$7.0k$7.0k$7.0k$31
9Maryview Hospital LlcPortsmouth, VA$7.1k$7.1k$7.1k$7.1k—

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