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APC CASE-27438

Arthroplasty Patella W/Prosthesis

Reported by 7 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

$12.2k

Average

$12.5k

Median

$12.5k

High

$13.0k

Hospitals reporting this code

#HospitalLocation
1Mercy Health Youngstown LlcWarren, OH$12.1k$12.1k$12.2k$12.4k$73
2Jewish Hospital LlcCincinnati, OH$12.5k$12.5k$12.5k$12.8k$88
3Mercy Health St Vincent Medical Center LlcToledo, OH$12.5k$12.5k$12.5k$12.7k$100
4Mercy Health Kings Mills Hospital LlcMason, OH$12.5k$12.5k$12.5k$12.5k—
5Bon Secours St Francis Medical Center LlcMidlothian, VA$12.5k$12.5k$12.6k$12.8k$100
6St Francis Hospital IncGreenville, SC$12.3k$12.3k$12.3k$12.4k$60
7Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$12.9k$12.9k$13.0k$13.1k$116

Look up this code directly

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