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APC CASE-27299

Unlisted Procedure Pelvis/Hip Joint|LEFT SIDE

Reported by 9 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

$237

Average

$2.1k

Median

$248

High

$7.2k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$240$244$3.4k$7.2k$3.4k
2Mercy Health Lourdes Hospital LlcPaducah, KY$245$250$248$250$2
3Jewish Hospital LlcCincinnati, OH$7.1k$7.1k$7.1k$7.2k$49
4Mercy Health Kings Mills Hospital LlcMason, OH$240$240$242$245$2
5Mercy Health Fairfield Hospital LlcFairfield, OH$7.2k$7.2k$7.2k$7.3k$62
6Mercy Health St Vincent Medical Center LlcPerrysburg, OH$240$240$240$244$2
7Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$247$247$248$252$2
8St Francis Hospital IncGreenville, SC$236$236$237$239$1
9Maryview Hospital LlcPortsmouth, VA$241$241$241$241—

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