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APC CASE-27446

Arthrp Knee Condyle&Plateau Medial/Lat Cmprt|LEFT SIDE

Reported by 13 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

$12.2k

Average

$12.7k

Median

$12.6k

High

$13.6k

Hospitals reporting this code

#HospitalLocation
1Mercy Health St Vincent Medical Center LlcToledo, OH$12.5k$12.5k$12.5k$12.7k$87
2Mercy Health Youngstown LlcYoungstown, OH$12.1k$12.1k$12.2k$12.4k$91
3Mercy Health Lourdes Hospital LlcPaducah, KY$12.8k$12.8k$12.9k$13.0k$126
4Jewish Hospital LlcCincinnati, OH$12.5k$12.5k$12.6k$12.8k$104
5Mercy Health Fairfield Hospital LlcFairfield, OH$12.7k$12.7k$12.8k$13.0k$73
6Mercy Health Anderson Hospital LlcCincinnati, OH$12.5k$12.5k$12.6k$12.8k$118
7Mercy Health St Vincent Medical Center LlcPerrysburg, OH$12.5k$12.5k$12.5k$12.7k$72
8Bon Secours St Marys Hospital Of Richmond LlcRichmond, VA$12.9k$12.9k$13.0k$13.1k$117
9St Francis Hospital IncGreenville, SC$12.3k$12.3k$12.3k$12.4k$49
10Bon Secours Memorial Regional Medical Center LlcMechanicsville, VA$12.9k$12.9k$13.0k$13.1k$121
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