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APC CASE-26055

Tendon Sheath Incision|LEFT HAND, THIRD DIGIT

Reported by 19 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

$1.5k

Average

$1.7k

Median

$1.7k

High

$1.9k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$1.5k$1.5k$1.6k$1.9k$124
2Mercy Health Youngstown LlcYoungstown, OH$1.5k$1.5k$1.7k$3.2k$474
3Mercy Health Lourdes Hospital LlcPaducah, KY$1.6k$1.6k$1.6k$1.6k$16
4Mercy Health Regional Medical Center LlcLorain, OH$1.5k$1.6k$1.8k$3.2k$491
5Mercy Health Kings Mills Hospital LlcMason, OH$1.6k$1.9k$1.8k$1.9k$167
6Mercy Health St Vincent Medical Center LlcOregon, OH$1.6k$1.6k$1.7k$1.9k$156
7Mercy Health West Hospital LlcCincinnati, OH$1.6k$1.6k$1.6k$1.6k$12
8Mercy Health Anderson Hospital LlcCincinnati, OH$1.6k$1.6k$1.7k$1.9k$150
9Mercy Health St Vincent Medical Center LlcPerrysburg, OH$1.6k$1.6k$1.7k$3.2k$378
10Mercy Health Youngstown LlcYoungstown, OH$1.6k$1.6k$1.6k$1.6k$8
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